Individual
MRS. JACQUELINE MILLER PRESSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 645-0335
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-0355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
581161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002725201
—
TX
01
—
10024586
AMERIGROUP PIN
TX
05
—
137345809
—
TX
01
—
1447220850
GRP NPI NUMBER
—
01
—
1548540594
GROUP NPI
TX
01
—
2256620
UHC PIN
TX
Enumeration date
12/12/2006
Last updated
10/05/2016
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