MRS. MAHALIA L JACKSON-BUTLER


Address: 4621 S Cooper St Ste 131-717, Arlington, TX 76017-5866
Phone: 2142772243

MRS. MAHALIA L JACKSON-BUTLER (NPI# 1063669893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063669893
Entity Type Individual
Full Name MRS. MAHALIA L JACKSON-BUTLER
Other Name MRS. MAHALIA L JACKSON
Practice Address 4621 S Cooper St Ste 131-717
Arlington
TX 76017-5866
Practice Telephone 2142772243
Practice Fax Number 2142312926
Mailing Telephone 2142772243
Mailing Fax Number 2142312926
Enumeration Date 2008-08-22
Last Update Date 2020-09-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
715590 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 201844201 05

Office Location

Street Address 4621 S COOPER ST STE 131-717
City ARLINGTON
State TX
Zip Code 76017-5866

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528330792 Medi- Elite, PC Nurse Practitioner 4621 S Cooper St Ste 131-717, Arlington, TX 76017-5866 2012-02-03

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NPI Name Taxonomy Address Enumeration
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1497390694 Ijeoma Esther Osuji Nurse Practitioner 5307 Alta Vista Lane, Arlington, TX 76017 2019-11-12
1003385386 Peace Within Counselor 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 2018-11-16
1750883229 Lumin Health Physician Group, Pa Pain Medicine 808 W Interstate 20 Suite 201, Arlington, TX 76017 2018-03-01
1215438643 Clover Francis Licensed Vocational Nurse 5211 Saratoga Lane, Arlington, TX 76017 2018-02-21
1265942593 Maria Luisa Gonzalez Community Health Worker 5916 Wind Drift Trail, Arllington, TX 76017 2017-09-29
1285150318 Divya Patel Counselor 5201 Windy Meadow Drive, Arlington, TX 76017 2017-08-21
1912420217 Natalia Sampaio Goodwin Registered Nurse 811 W. Interstate 20, Suite 212, Arlington, TX 76017 2017-07-19
1962939744 Sean Christopher Hembree Chiropractor 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 2017-05-11
1154866119 Deborah Tuckey Nystrom Physical Therapist 2310 West I-20, Suite 204, Arlington, TX 76017 2016-12-30
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780216143 Lakeidre Davis Nurse Practitioner 4225 Wingrove Dr, Arlington, TX 76015-4524 2020-02-04
1184277907 Colleen Claire Slagen Nurse Practitioner 29 Trowbridge St, Arlington, MA 02474-5516 2019-07-21
1134621683 Ntombizodwa Sayi Nurse Practitioner 1225 Harris Hawk Way, Arlington, TX 76005 2018-03-01
1003278615 Donna Green Nurse Practitioner 615 East Abrams, Arlington, TX 76010 2016-03-23
1356684401 Claudia Mary Atherton Nurse Practitioner 1625 North George Mason Dr., Virginia Hospital Center, Arlington, VA 22205-3698 2013-03-27
1609198936 Yonah Knuckles Nurse Practitioner 1212 Ruthella Dr, Arlington, TX 76010-3530 2010-03-01
1083882591 Sue A Piller Nurse Practitioner 7244 Collierville Arlington Rd, Arlington, TN 38002-9511 2008-02-19
1497961973 Jennifer Pitts King Nurse Practitioner 1635 N George Mason Dr Ste 490, Arlington, VA 22205-3671 2007-05-14
1053313189 Kathleen Anne Malliarakis Nurse Practitioner 3925 N Abingdon St, Arlington, VA 22207-2919 2005-06-01
1750921391 Cheyenne Lakota Pagel Nurse Practitioner 800 W Arbrook Blvd, Arlington, TX 76015-4327 2020-01-12
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Competitor

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City ARLINGTON
Zip Code 76017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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