Individual
D'NIKA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 ALTAMESA BLVD, FORT WORTH, TX 76134-3325
(817) 885-4800
Mailing address
305 HERITAGE DR, CROWLEY, TX 76036-4029
(682) 667-0852
(682) 667-0852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/06/2024
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