Individual
JACLYN THERESA CHANNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
221 W COLORADO BLVD STE 525, DALLAS, TX 75208-2312
(214) 956-4525
(214) 960-5681
Mailing address
5264 KATY ROSE CT, FORT WORTH, TX 76126-3053
(817) 907-9467
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
792582
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP145190
TX
363LG0600X
Gerontology Nurse Practitioner
AP145190
TX
Other
Enumeration date
02/20/2020
Last updated
03/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us