Individual
JACEY ELIZABETH MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN, PMHNP-BC
Contact information
Practice address
1772 W MCDERMOTT DR, ALLEN, TX 75013-3342
(469) 340-2777
Mailing address
1772 W MCDERMOTT DR, ALLEN, TX 75013-3342
(469) 340-2777
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
887018
TX
163WH0200X
Home Health Registered Nurse
887018
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1069770
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
1069770
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1069770
ADVANCED PRACTICE REGISTERED NURSE LICENSE
TX
01
—
2021210051
ANCC PMHNP-BC CERTIFICATION
—
01
—
887018
REGISTERED NURSE
TX
Enumeration date
04/09/2020
Last updated
08/06/2026
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