Individual
JEANNETTE R RACKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2600 W PLEASANT RUN RD, LANCASTER, TX 75146-1114
(972) 597-7326
Mailing address
2700 W PLEASANT RUN RD, LANCASTER, TX 75146-1079
(972) 597-7326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03203
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181488102
—
TX
01
—
8N9119
BLUE SHIELD
TX
Enumeration date
04/05/2006
Last updated
06/04/2026
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