Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Jackson

Individual provider Acute Care Nurse Practitioner · NPI 1124419015

Mary Jackson is a Nurse Practitioner in Dallas, Texas. Qualified in 1997, 29 years ago. Practices with Southeast Texas Intensivists, PLLC, a 36-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
29
Licensed in
OK, TX
In the registry since
2015
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5201 Harry Hines Blvd
Dallas, TX 75235-7708
Phone: (214) 590-8000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 132732 (OK)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence AP127185 (TX)

Record details

NPI number1124419015
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2015
Last updated in NPPESSeptember 3, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Southeast Texas Intensivists, Pllc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dallas