Individual
MS. RHONDA LEE JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9101 N CENTRAL EXPY STE 420, DALLAS, TX 75231-5945
(214) 823-2525
Mailing address
1317 STONY BROOK LN, GARLAND, TX 75043-1342
(972) 926-9373
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
535375
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014169-01
—
TX
Enumeration date
01/18/2008
Last updated
11/30/2009
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