Individual
WENDY LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N,, B.A
Contact information
Practice address
2213 MERMAID CIR, ROWLETT, TX 75088-1875
(214) 334-9444
(214) 501-4380
Mailing address
2213 MERMAID CIR, ROWLETT, TX 75088-1875
(214) 334-9444
(214) 501-4380
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
663334
TX
163WI0500X
Infusion Therapy Registered Nurse
663334
TX
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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