Elmer, Jacklyn Marie

Elmer, Jacklyn Marie is an sole proprietor health care provider with primary practice located at 4324 Thames Ct , Flower Mound TX 75028-1778. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Elmer, Jacklyn Marie can be contacted via phone (254) 967-4829.

Contact Information

Primary practice address
4324 Thames Ct Flower Mound TX 75028-1778
Phone: (254) 967-4829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA06585 Texas

Profile Details

NPI number 1710209903
LBN Legal business name Elmer, Jacklyn Marie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2010
Last updated Jan 15th, 2020 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710209903 NPPES
Texas MEDICAID 321033801
Texas Other 835N10
Texas Other P00935316
Texas Other PA06585
Texas Other 816N94
Texas Other TXB121235

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