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JACKIE PENN, NP
NP
Psychiatric/Mental Health Nurse Practitioner
NPI: 1972940260IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
783349(TX)
Psychiatric/Mental Health Nurse PractitionerPrimary
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
1056737(TX)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 5319 NUECES LN
GRAND PRAIRIE, TX 75052 - Phone
- (214) 584-4103
Quick Facts
- NPI
- 1972940260
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 5
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