Registry record
- NPI
- 1710450457
- Profession
- Nurse Practitioner (NP)
- Specialty
- Family Nurse Practitioner (363LF0000X)
- Practice address
- 8612 Utica Ave
Lubbock, TX 79424 - Phone
- 8062838156
- In the registry since
- January 4, 2019
- Last NPPES update
- January 4, 2019
- Sole proprietor
- No
- License
- AP139797 (TX)
At this location
This location lists no other NP or PA providers in our current data.
In context
The NPI number of Tandrea Jackson is 1710450457. They are a Family Nurse Practitioner in Lubbock, Texas.
Tandrea Jackson is one of 452 Family Nurse Practitioners in Lubbock and one of 22,499 across Texas in our data. Lubbock ranks #8 among Texas cities in our dataset, with 779 NP and PA providers.
The NPI has been in the federal registry for 7 years, since January 4, 2019.
Frequently asked questions
What is NPI 1710450457?
NPI 1710450457 is the 10-digit National Provider Identifier assigned to Tandrea Jackson, a Family Nurse Practitioner practicing in Lubbock, Texas. The record has been in the NPPES registry since January 4, 2019.
How do I verify this provider?
Cross-check NPI 1710450457 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license AP139797 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as January 4, 2019. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.