NPI

Janelle L Jackson

NPI 1477991818

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2013-06-07
Last updated
2020-05-04

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
5601 Democracy Dr Ste 135
City
Plano TX
Postal code
75024-3672
Phone
(501) 944-0931

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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