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JACKIE PENN, NP

NP

Psychiatric/Mental Health Nurse Practitioner

NPI: 1972940260IndividualAccepts Medicare

Specialties, Licenses & Credentials

Registered Nurse

Code: 163W00000X

783349(TX)

Nurse Practitioner — Psychiatric/Mental Health

Code: 363LP0808X

1056737(TX)

CMS Specialties

Education

OTHER

Class of 2021

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Contact & Hours

Address
5319 NUECES LN
GRAND PRAIRIE, TX 75052

Quick Facts

NPI
1972940260
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
5

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