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

Lisa Nicole Jackson, BASLPA

Individual provider Speech-Language Assistant · NPI 1720493224

Lisa Nicole Jackson, BASLPA is a Speech-Language Assistant in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2014

Practice location Address checks out

3200 Troup Hwy Ste 120
Tyler, TX 75701 Not confirmed with CMS for 12 years — call before visiting
Phone: (903) 253-0095
Show map & directions

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

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence 37923 (TX)

Record details

NPI number1720493224
Entity typeIndividual (Type 1)
GenderFemale
Credentials BASLPA
Sole proprietorYes
NPI enumeratedJune 24, 2014
Last updated in NPPESJune 24, 2014

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