Individual
MRS. JACQUELINE DENISE NICKSON-YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-BC, APMHNP-C
Contact information
Practice address
512 N HAMPTON RD # 303, DESOTO, TX 75115-4920
(469) 734-4990
(972) 255-3958
Mailing address
512 N HAMPTON RD # 303, DESOTO, TX 75115-4920
(469) 734-4990
(972) 255-3958
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
568271
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP108917
TX
Other
Enumeration date
02/06/2007
Last updated
12/19/2024
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