Jackson, Stacey Renee

Jackson, Stacey Renee is an individual health care provider with primary practice located at 906 W Randol Mill Rd , Arlington TX 76012-2510. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Stacey Renee can be contacted via phone (817) 261-4906.

Contact Information

Primary practice address
906 W Randol Mill Rd Arlington TX 76012-2510
Phone: (817) 261-4906
Fax: (817) 261-5837
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP130643 Texas

Profile Details

NPI number 1669828224
LBN Legal business name Jackson, Stacey Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2016
Last updated Jul 22nd, 2016 - about 10 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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