D'Nika Jackson
Speech-Language Pathologist, in Fort Worth, TX. Individual provider (NPI-1).
NPI number1902467202
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1902467202
- Entity type
- Individual (NPI-1)
- Name
- D'Nika Jackson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2019
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1640 Altamesa BlvdFort Worth, TX 76134-3325
Phone 817-885-4800
Mailing address
305 Heritage DrCrowley, TX 76036-4029
Phone 682-667-0852 · Fax 682-667-0852
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All 738 Speech-Language Pathologist providers in Fort Worth · All 20,155 providers in Fort Worth
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