Individual provider · Type 1 NPI

Trenel Shundrae Jackson, APRN, FNP-BC

Family Nurse Practitioner · Dallas, TX

NPI number 1073150157 Active

Practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	AP144273 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1073150157

Trenel Shundrae Jackson, APRN, FNP-BC's National Provider Identifier is 1073150157, issued on Dec 8, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Aug 4, 2020.