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

Stacey Jackson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1134645674

Stacey Jackson, FNP-C is a Nurse Practitioner in Bedford, Texas. Qualified in 2014, 12 years ago. Practices with Oak Street Health of Texas PLLC, a 102-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
12
Licensed in
TX
In the registry since
2017
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1604 Hospital Pkwy Ste 100
Bedford, TX 76022-5913
Phone: (817) 848-2880
Fax: (817) 848-2890
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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 AP134528 (TX)

Record details

NPI number1134645674
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 16, 2017
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024
Mailing addressPo Box 746079, Atlanta, GA 30374-6079

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Oak Street Health Of Texas Pllc — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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