NPivot
Tonya Jackson is one of 56 nurse practitioners practicing in Paris, Texas .
Tonya Jackson practices with B. C. Muthappa, M.D., P.A.
Registry record (NPPES)
NPI
1558023572
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Address on file
4650 Lamar Ave Paris, TX 75462-7400 (903) 785-3400
Enumerated
Oct 7, 2021
Record last updated
Oct 7, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
The registry stops here. NPivot keeps going.
Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
See the full profile free
Free account. No card, no call.
Practice locations
1601 Lamar Ave
Paris , TX 75460
(903) 741-1101
120 Farm Rd Suite 2825
Clarksville , TX 75426
(903) 427-2201
More nurse practitioners in Paris
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
NPivot · NPI lookup & provider intelligence
NPivot uses data from public CMS, NPPES & HRSA sources and is not affiliated with, endorsed by, or sponsored by CMS, HRSA, or any government agency. © 2026 NPivot · a Next Tier Careers product.