Individual
CHELSEA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-8000
Mailing address
1803 PRAIRIE HAVEN WAY, WYLIE, TX 75098-1068
(972) 658-8398
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1054600
TX
Other
Enumeration date
05/03/2021
Last updated
01/12/2022
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