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Holly Jackson is one of 160 physician assistants practicing in Prosper, Texas .
Holly Jackson practices with Healthtexas Provider Network.
Registry record (NPPES)
NPI
1467826248
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant · 363A00000X
Address on file
4421 Highway 6 S Ste 100 College Station, TX 77845-6176 (979) 731-5200
Enumerated
Nov 17, 2015
Record last updated
Jan 23, 2023
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXPhysician Assistant
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
821 N Coleman St Suite 100
Prosper , TX 75078
(469) 800-5200
6257 FM 2642 Blvd Suite 100
Royse City , TX 75189
(972) 635-9490
More physician assistants in Prosper
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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