PEGGY SUE JACKSON FNP NPI 1588611560

NPI Information

NPI: 1588611560
Provider Name: PEGGY SUE JACKSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
8230 WALNUT HILL LN
SUITE 700
DALLAS, TX
ZIP 75231
Phone: (214) 691-1902
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Peggy Sue Jackson, FNP is a family nurse practitioner in Dallas, TX. Peggy Sue Jackson, FNP NPI is 1588611560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8230 WALNUT HILL LN
SUITE 700
DALLAS, TX
ZIP 75231-482
Phone: (214) 691-1902
Fax: (214) 853-9415

The enumeration date for this NPI number is 5/27/2006 and was last updated on 10/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	509015	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	TXB161352	MEDICARE PIN	TEXAS
2	P62366	MEDICARE UPIN
3	TXB161353	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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