# DR. MAHALIA L JACKSON-BUTLER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1063669893
- **Gender:** F
- **Credential:** DNP, APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 715590 | TX | — |
| 363LA2200X | Adult Health Nurse Practitioner | AP117597 | TX | — |
| 363LG0600X | Gerontology Nurse Practitioner | AP117597 | TX | — |
| 363LP2300X | Primary Care Nurse Practitioner | AP117597 | TX | Yes |

## Other

- **Enumeration date:** 08/22/2008
- **Last updated:** 08/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201844201 | — | TX |