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

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