{"npi":"1609300102","type":"NPI-1","status":"active","name":{"display":"Angel Jackson Pmhnp","other":[{"code":"1","type":"Formerly known as","value":"CHAMBERS, ANGEL"}],"first":"ANGEL","last":"JACKSON","credential":"PMHNP"},"specialty":{"primary_taxonomy":"363LP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Nurse Practitioner","slug":"psychiatric-mental-health-nurse-practitioner","schema_org_specialty":null,"all":[{"code":"363LP0808X","description":"Psychiatric/Mental Health Nurse Practitioner","primary":true,"state":"TX","license":"1024242"},{"code":"111N00000X","description":"Chiropractor","primary":false,"state":"TX","license":"13441"}]},"addresses":[{"purpose":"LOCATION","street_1":"5119 BECKWITH BLVD STE 105","city":"SAN ANTONIO","state":"TX","postal_code":"782492277","country_code":"US","phone":"2103663700","fax":"2102651442"},{"purpose":"MAILING","street_1":"911 CENTRAL PKWY N STE 300","city":"SAN ANTONIO","state":"TX","postal_code":"782325053","country_code":"US","phone":"8004046050","fax":"8663133397"}],"license":{"state":"TX","number":"1024242"},"identifiers":[{"type_code":"01","label":"Other","value":"13441","state":"TX","issuer":"TEXAS BOARD OF CHIROPRACTIC EXAMINERS"},{"type_code":"01","label":"Other","value":"1024242","state":"TX","issuer":"TEXAS BOARD OF NURSING"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250217001430","type_code":"14-50","type_desc":"PRACTITIONER - NURSE PRACTITIONER","state":"TX","pac_id":"3072043355"}]},"enumeration_date":"2017-04-12","last_updated":"2024-10-29","_meta":{"source":"NPPES","snapshot_date":"2024-10-29","doc_url":"https://findmynpi.com/api"}}