Psychiatry & Neurology, Child & Adolescent Psychiatry
Dr. BREAUNNAH JACKSON MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831759877 · enumerated 2019-06-20 · record updated 2026-09-28. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: BREAUNNAH BLOOMER
Addresses and phones
- Mailing address 901 E 104TH ST, KANSAS CITY, MO, 64131-4517 Google Maps Apple Maps OpenStreetMap
- Practice location 3840 HULEN ST, FORT WORTH, TX, 76107-7277 (817) 569-4300 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X · Primary · License W2866 TX
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X · License 325879 LA
- Psychiatry & Neurology, Psychiatry 2084P0800X · License 313326 LA
- Psychiatry & Neurology, Psychiatry 2084P0800X · License W2866 TX
In this directory
TX Tarrant County Fort Worth Psychiatry & Neurology, Child & Adolescent Psychiatry
Locations and evidence
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Practice location
FORT WORTH, TX, 761077277
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.