Provider Profile

Jackie I. Penn, NP

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At a glance

About Jackie Penn

Listed in the NPI registry as a nurse practitioner, Jackie I. Penn, NP practices in Grand Prairie, TX. Jackie is also listed as specializing in registered nurse and nurse practitioner — psychiatric/mental health. NPI 1972940260 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2021

Credentials & Licensing

TX licenceAs reported to the NPI registry
No. 783349As reported
TX licenceAs reported to the NPI registry
No. 1056737As reported
NPINational Provider Identifier
1972940260Issued 2013

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jackie I. Penn specialize in?

Jackie I. Penn is a nurse practitioner in Grand Prairie, TX. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jackie I. Penn located?

Jackie I. Penn is listed at 5319 Nueces Ln, Grand Prairie, TX 75052. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jackie I. Penn's phone number?

The number on file is (214) 584-4103. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jackie I. Penn's NPI number?

Jackie I. Penn's National Provider Identifier is 1972940260. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jackie I. Penn train?

Jackie I. Penn attended Other, graduating in 2021. This comes from the CMS National Downloadable File.

CMS public data

How long has Jackie I. Penn been practicing?

Jackie I. Penn has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.

CMS public data

Has Jackie I. Penn confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jackie I. Penn. If this is you, claiming it is free.

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