Channell, Jaclyn Theresa

Channell, Jaclyn Theresa is an individual health care provider with primary practice located at 221 W Colorado Blvd Ste 525 , Dallas TX 75208-2312. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Channell, Jaclyn Theresa can be contacted via phone (214) 956-4525.

Contact Information

Primary practice address
221 W Colorado Blvd Ste 525 Dallas TX 75208-2312
Phone: (214) 956-4525
Fax: (214) 960-5681
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 792582 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP145190 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP145190 Texas

Profile Details

NPI number 1700419421
LBN Legal business name Channell, Jaclyn Theresa
Credentials AGACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2020
Last updated Mar 26th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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