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

MS. Jacquetta Jackson, LSA

Individual provider Surgical Assistant · NPI 1659852440

MS. Jacquetta Jackson, LSA is a Surgical Assistant in Arlington, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

1021 Telluride Dr
Arlington, TX 76001-8529
Phone: (214) 227-2457
Fax: (214) 764-0880
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA00703 (TX)

Record details

NPI number1659852440
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSA
Sole proprietorYes
NPI enumeratedAugust 28, 2018
Last updated in NPPESAugust 9, 2019
Mailing addressPo Box 938, Rowlett, TX 75030-0938

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