Individual
JACEY ELIZABETH MONROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN, PMHNP-BC
Contact information
Practice address
7300 ELDORADO PKWY STE 225, MCKINNEY, TX 75070-3590
(972) 893-3376
Mailing address
20044 FM 16 W, LINDALE, TX 75771-5519
(469) 226-3987
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
04/05/2023
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