Nickson-Young, Jacqueline Denise

Nickson-Young, Jacqueline Denise is an individual health care provider with primary practice located at 512 N Hampton Rd # 303 , Desoto TX 75115-4920. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Nickson-Young, Jacqueline Denise can be contacted via phone (469) 734-4990.

Contact Information

Primary practice address
512 N Hampton Rd # 303 Desoto TX 75115-4920
Phone: (469) 734-4990
Fax: (972) 255-3958
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 568271 Texas
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN LICENSE NO: AP1 Texas

Profile Details

NPI number 1891835484
LBN Legal business name Nickson-Young, Jacqueline Denise
Credentials GNP-BC, APMHNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Oct 18th, 2017 - about 9 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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