Elson, Jackie L

Elson, Jackie L is an individual health care provider with primary practice located at 902 W Randol Mill Rd Suite 200, Arlington TX 76012-2572. 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. Elson, Jackie L can be contacted via phone (817) 461-8327.

Contact Information

Primary practice address
902 W Randol Mill Rd Suite 200 Arlington TX 76012-2572
Phone: (817) 461-8327
Fax: (817) 275-2525
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01090 Texas

Profile Details

NPI number 1326001041
LBN Legal business name Elson, Jackie L
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Dec 8th, 2016 - about 9 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 1326001041 NPPES
Texas MEDICAID 189128501

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