Individual
DR. MAHALIA L JACKSON-BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
2721 CENTRAL DR, BEDFORD, TX 76021-4810
(214) 277-2243
(214) 231-2926
Mailing address
4621 S COOPER ST STE 131-717, ARLINGTON, TX 76017-5866
(214) 277-2243
(214) 231-2926
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
AP117597
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201844201
—
TX
Enumeration date
08/22/2008
Last updated
08/27/2024
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