MS. RHONDA LEE JACKMAN (NPI# 1962688093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962688093 |
| Entity Type | Individual |
| Full Name | MS. RHONDA LEE JACKMAN |
| Credential | CPNP |
| Practice Address |
9101 N Central Expy Ste 420 Dallas TX 75231-5945 |
| Mailing Address |
1317 Stony Brook Ln Garland TX 75043-1342 |
| Practice Telephone | 2148232525 |
| Mailing Telephone | 9729269373 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2009-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
535375 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2014169-01 | 05 |
| Street Address |
9101 N CENTRAL EXPY STE 420 |
| City | DALLAS |
| State | TX |
| Zip Code | 75231-5945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1013546118 | The Legacy Midtown Park, Inc | Skilled Nursing Facility | 8280 Manderville Lane, Dallas, TX 75231 | 2020-04-02 |
| 1003383373 | Northeast Dallas Dentistry, PC | Dentist | 6401 East Northwest Highway, Suite 100, Dallas, TX 75231 | 2018-10-25 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1760964100 | Amber Nicole Caruthers | Nurse Practitioner | 8060 Park Lane, Dallas, TX 75231 | 2018-09-01 |
| 1376024893 | Brittany Leigh Stedman | Physical Therapist | 8130 Meadow Rd, Dallas, TX 75231 | 2018-08-23 |
| 1700367224 | Tia Cornelius | Occupational Therapy Assistant | 8130 Meadow Rd., Dallas, TX 75231 | 2018-08-23 |
| 1538653753 | Manju R. Goyal M.d. Psychiatry Pllc | Psychiatry & Neurology | 5477 Glen Lakes Dr Ste 210, Dallas, TX 75231 | 2018-06-20 |
| 1497246813 | Stacy Jo Thomas | Counselor | 10260 N Central Expy Ste 280, Dallas, TX 75231 | 2018-05-21 |
| 1235626615 | Texas Health Presbyterian Hospital Dallas | Durable Medical Equipment & Medical Supplies | 8160 Walnut Hill Lane, First Floor, Dallas, TX 75231 | 2018-04-20 |
| Find all providers in zip 75231 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598229510 | Sara Klueber | Nurse Practitioner | 1935 Medical District Dr # C8.01, Dallas, TX 75235-7701 | 2019-01-23 |
| 1932671443 | Allison Blazek | Nurse Practitioner | 1935 Medical District Dr # F3.214, Dallas, TX 75235-7701 | 2018-12-21 |
| 1124520291 | Dalia K George | Nurse Practitioner | 7777 Forest Ln Ste C840, Dallas, TX 75230-2594 | 2018-03-06 |
| 1740790849 | Madeline Claire Crank | Nurse Practitioner | 7777 Forest Ln Ste C742, Dallas, TX 75230-6862 | 2017-10-03 |
| 1215480355 | Ashley Smith | Nurse Practitioner | 8325 Walnut Hill Ln# 225, Dallas, TX 75231 | 2016-07-25 |
| 1316349962 | Jennifer Tracy | Nurse Practitioner | 2350 N Stemmons Fwy Ste 4300mcf4, Dallas, TX 75207-2700 | 2014-09-25 |
| 1013334879 | Sneha Patel | Nurse Practitioner | 4830 Cedar Springs Rd, Unit 3, Dallas, TX 75219-1366 | 2014-03-18 |
| 1720415748 | Heidi Nicole Pettit | Nurse Practitioner | 1935 Medical District Dr # E2300, Dallas, TX 75235-7701 | 2013-10-04 |
| 1821357088 | Robyn Joy Haynes | Nurse Practitioner | 1935 Medical District Dr # D2.04, Dallas, TX 75235-7701 | 2012-05-09 |
| 1205102589 | Ashley Caroline Eckstein | Nurse Practitioner | 8440 Walnut Hill Ln Ste 540, Dallas, TX 75231-3824 | 2012-03-30 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on MS. RHONDA LEE JACKMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.