Shauntorya Jackson, AGNP

Nurse practitioner in Dallas, Texas · NPI 1104296615

Shauntorya Jackson is one of 1,896 nurse practitioners practicing in Dallas, Texas. Shauntorya Jackson practices with Advanced Wound Care Of North Texas PLLC, Cardio And Renal Therapeutics Of North Texas PLLC, and Long Term Health Careline Corp.

Registry record (NPPES)

NPI: 1104296615
Type: Type 1 · Individual
Primary taxonomy: Nurse Practitioner, Gerontology · 363LG0600X
Address on file: 2281 Olympia Dr
Flower Mound, TX 75028-1857
(469) 322-0089
Enumerated: Sep 28, 2015
Record last updated: Jul 5, 2023
License states listed: TX

Medicare (CMS)

Enrollment: Medicare-enrolled in TX
Nurse Practitioner
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

13154 Coit Rd Suite 102D
Dallas, TX 75240
(469) 726-2287
5830 Collin McKinney Pkwy Suite 302
McKinney, TX 75070
(214) 272-2774
3650 S I Suite 35
Waxahachie, TX 75165
(972) 937-7320

More nurse practitioners in Dallas

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.