JACLYN TUCKER (NPI# 1851722177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851722177 |
| Entity Type | Individual |
| Full Name | JACLYN TUCKER |
| Credential | PA-C |
| Practice Address |
6011 Harry Hines Blvd Suite V4.114 Dallas TX 75235-5386 |
| Practice Telephone | 2146481701 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2015-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 017266-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950172 | Jaclyn Tucker | Psychologist | 1777 Axtell Dr, Troy, MI 48084-4404 | 2020-10-23 |
| 1437799558 | Jaclyn Tucker | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2020-01-07 |
| Street Address |
6011 HARRY HINES BLVD SUITE V4.114 |
| City | DALLAS |
| State | TX |
| Zip Code | 75235-5386 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043418205 | University of Texas Southwestern Medical Center At Dallas | Clinic/Center | 6011 Harry Hines Blvd, Dallas, TX 75235 | 2007-07-10 |
| 1306473269 | Erin Elizabeth Reagan | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235-5386 | 2020-03-23 |
| 1689200206 | Ashlea Taylor Findley | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235-5386 | 2020-03-15 |
| 1962037465 | Caitlin E Lewis | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235-5386 | 2020-03-05 |
| 1700424603 | Julie Christeen Chrisman | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235 | 2019-12-11 |
| 1730749722 | Cody Ryan Richardson | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235-5386 | 2019-06-20 |
| 1780244988 | Nicholas Wayne Mahaffey | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235-5386 | 2019-06-19 |
| 1598324345 | Fabian Soldevilla | Prosthetist | 6011 Harry Hines Blvd, Dallas, TX 75390-9091 | 2019-06-06 |
| 1669938379 | Meagan Mccluskey | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235-5386 | 2019-02-18 |
| 1568926251 | Lindsay Strong | Physical Therapist | 6011 Harry Hines Blvd, Dallas, TX 75235-5386 | 2019-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265058895 | Kailey Elaine Flowers | Physical Therapy Assistant | 2400 Empire Central Drive, Suite B, Dallas, TX 75235 | 2020-06-19 |
| 1265061071 | Bella Xinyi O'malley | Student in an Organized Health Care Education/Training Program | 1935 Medical Drive, Dallas, TX 75235 | 2020-04-03 |
| 1427687318 | Can Ozlu | Student in an Organized Health Care Education/Training Program | Children's Medical Center of Dallas, 1935 Medical Distr, Dallas, TX 75235 | 2020-04-03 |
| 1689137515 | Tarek Mansi | Student in an Organized Health Care Education/Training Program | 2222 Medical District Dr Apt 4325, Dallas, TX 75235 | 2019-04-08 |
| 1386117125 | Christine Elizabeth Smith | Physician Assistant | 8134 Tex Oak Avenue, Dallas, TX 75235 | 2019-01-04 |
| 1447720016 | Michelle Angelina Dye | Physician Assistant | 5959 Maple Avenue Apt 1171, Dallas, TX 75235 | 2018-11-27 |
| 1255869335 | Andrea Nicole Pennington-peace | Specialist/Technologist, Other | 1935 Medial District, Dallas, TX 75235 | 2017-06-01 |
| 1194258152 | Tricia Rood | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd., Dallas, TX 75235 | 2017-04-06 |
| 1437690971 | Robin Lee | Counselor | 8915 Hrry Hines Blvd, Dallas, TX 75235 | 2017-03-16 |
| 1871033746 | Javier Davila-lopez | Counselor | 1545 Mockingbird Lane, Suite 4000, Dallas, TX 75235 | 2017-02-27 |
| Find all providers in zip 75235 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1225643562 | Yermiahu Levi Sarne | Physician Assistant | 6206 Preston Crest Ln, Dallas, TX 75230-1828 | 2020-09-14 |
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1275151102 | Kelly Ashworth | Physician Assistant | 7331 Gaston Ave # 180, Dallas, TX 75214-4131 | 2020-07-07 |
| 1780201715 | Gabriela Yvonne Camacho | Physician Assistant | 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 | 2020-06-25 |
| 1346879699 | Ws Neuroassist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 | 2020-04-07 |
| 1265065122 | Sarah Bell Stewart | Physician Assistant | 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 | 2020-02-19 |
| 1093348237 | Meagan Lee Barry | Physician Assistant | 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 | 2020-02-17 |
| 1245863554 | Melissa Ann Johnston | Physician Assistant | 4373 Boca Bay Dr, Dallas, TX 75244-7408 | 2020-02-14 |
| 1205479607 | Mj Surgical, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 | 2019-10-18 |
| Find all providers in DALLAS | ||||
Please comment or provide details below to improve the information on JACLYN TUCKER.
| 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.