Individual provider · Type 1 NPI

Jacklyn Rose Williams

Nurse Practitioner · Plano, TX

NPI number 1083412993 Active

Practice location

6200 W Parker Rd
Plano, TX 75093-8185

Mailing address

133 Birdbrook Dr
Anna, TX 75409-5193

Other practice locations

  • 1410 E Renner Rd, Richardson, TX 75082-2227 · (972) 234-3311

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1094607 (TX)
Family Nurse Practitioner 363LF0000X1094607 (TX)
Neuroscience Registered Nurse 163WN0800X1094607 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083412993

Jacklyn Rose Williams's National Provider Identifier is 1083412993, issued on Mar 5, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plano, TX. The record was last updated on Oct 29, 2026.