JACLYN THERESA CHANNELL

DALLAS, TX
NPI1700419421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: TX  AP145190)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: TX  792582)
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX  AP145190)
Enumeration Date2020-02-20
Last Update Date2024-03-26
Business Address
JACLYN THERESA CHANNELL AGACNP
221 W COLORADO BLVD STE 525
DALLAS, TX 75208-2312
Phone number: 214-956-4525
Mailing Address
JACLYN THERESA CHANNELL AGACNP
5264 KATY ROSE CT
FORT WORTH, TX 76126-3053
Phone number: 817-907-9467