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Individual

TRISH LATONYA JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
WHNP-BC

Contact information

Practice address
1800 N BRITAIN RD, IRVING, TX 75061-2630
(214) 266-3221
Mailing address
5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
(214) 266-3221

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
669841
TX

Other

Enumeration date
06/20/2008
Last updated
11/07/2008
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