Jackquelyn Williams is one of 69 nurse practitioners practicing in Southlake, Texas .
Jackquelyn Williams practices with Progressive Behavioral Health, PLLC.
Registry record (NPPES)
NPI
1306249602
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Psychiatric/Mental Health · 363LP0808X
Address on file
644 Creekview Dr
Enumerated
Sep 30, 2014
Record last updated
Mar 24, 2025
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse 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
431 E State Hwy 114 Suite 140Southlake , TX 76092
More nurse practitioners in Southlake
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.
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