Individual
JACLYN MICHELLE PRALAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10325 LAKE JUNE RD STE 568, DALLAS, TX 75217-5326
(972) 532-9967
(210) 314-5044
Mailing address
14100 SAN PEDRO AVE STE 412, SAN ANTONIO, TX 78232-2009
(210) 281-8669
(210) 314-5044
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1002879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016270100
—
FL
Enumeration date
11/03/2011
Last updated
04/29/2021
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