Individual
DYSHAWNICA JEARCARA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN CNM
Contact information
Practice address
7453 LAS COLINAS BLVD, IRVING, TX 75063-7561
(972) 215-6934
Mailing address
7453 LAS COLINAS BLVD, IRVING, TX 75063-7561
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
1152743
TX
367A00000X
Advanced Practice Midwife
Primary
1152743
TX
Other
Enumeration date
02/12/2024
Last updated
03/18/2025
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