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

MS. Pamela Karol Jackson, CFNP

Individual provider Family Nurse Practitioner · NPI 1053419606

MS. Pamela Karol Jackson, CFNP is a Nurse Practitioner in Tyler, Texas. Qualified in 1985, 41 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
41
Licensed in
TX
In the registry since
2006
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Practice location Address checks out

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone: (903) 595-6680
Fax: (903) 592-1934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 530242 (TX)

Record details

NPI number1053419606
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 6, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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