Jackie Ijeoma Penn
NP | Nurse Practitioner
5319 Nueces Ln, Grand Prairie
Texas, 75052-2667
214-584-4103
Jackie Ijeoma Penn is a Grand Prairie, Texas based nurse practitioner who is specialized as Nurse Practitioner nurse. Active license number of Jackie Ijeoma Penn is 1056737 for Psych/Mental Health in Texas. Her current practice location is 5319 Nueces Ln, Grand Prairie. Patients can reach her at 214-584-4103. Jackie Ijeoma Penn is NP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1972940260.
Jackie Ijeoma Penn has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jackie Ijeoma Penn speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jackie Ijeoma Penn |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Practice Address: | 5319 Nueces Ln, Grand Prairie,
Texas, 75052-2667 |
| Phone: | 214-584-4103 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1972940260 |
| NPI Enumeration Date: | 28 May, 2013 |
| NPI Last Update On: | 03 May, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jackie Ijeoma Penn are as mentioned below.
| License Number | Specialization | State | Status | |
| 1056737 | Psych/Mental Health | Texas | Primary | |
| 783349 | Registered Nurse | Texas | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jackie Ijeoma Penn
5319 Nueces Ln,
Grand Prairie, Texas |
| Zip: | 75052-2667 |
| Phone Number: | 214-584-4103 |
Patients can reach Jackie Ijeoma Penn at
5319 Nueces Ln, Grand Prairie, Texas or can
call to book an appointment on 214-584-4103.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.