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

Donna Lachelle Jackson

Individual provider Continuing Education/Staff Development Registered Nurse · NPI 1114531217

Donna Lachelle Jackson is a Nurse Practitioner in Tyler, Texas. Qualified in 2018, 8 years ago. Practices with Christus Trinity Clinic, a 1,531-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2020
Specialties on file
2

Practice location Address checks out

2990 N Broadway Ave
Tyler, TX 75702-2149
Phone: (903) 535-9041
Show map & directions

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

Additional practice locations (1)

  • 3203 S Main St, Lindale, TX 75771-7727 — (903) 266-4000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1032219 (TX)
Continuing Education/Staff Development Registered Nurse Taxonomy 163WC1600X · Licence 676887 (TX)

Record details

NPI number1114531217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2020
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Christus Trinity Clinic — 1531 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare