Individual provider · Type 1 NPI

Jacqueline Eudora Deyounge-Gerideau, PA-C

Physician Assistant · Grand Prairie, TX

NPI number 1609180645 Active

Practice location

2455 Robinson Rd, Suite 200
Grand Prairie, TX 75051-3852

Call (972) 522-5665 Map

Fax (972) 522-5605

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01588 (TX)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1609180645

Jacqueline Eudora Deyounge-Gerideau, PA-C's National Provider Identifier is 1609180645, issued on Aug 2, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grand Prairie, TX. The record was last updated on Aug 2, 2010.