Deyounge-Gerideau, Jacqueline Eudora

Deyounge-Gerideau, Jacqueline Eudora is an individual health care provider with primary practice located at 2455 Robinson Rd Suite 200, Grand Prairie TX 75051-3852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Deyounge-Gerideau, Jacqueline Eudora can be contacted via phone (972) 522-5665.

Contact Information

Primary practice address
2455 Robinson Rd Suite 200 Grand Prairie TX 75051-3852
Phone: (972) 522-5665
Fax: (972) 522-5605
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01588 Texas

Profile Details

NPI number 1609180645
LBN Legal business name Deyounge-Gerideau, Jacqueline Eudora
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2010
Last updated Aug 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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