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Abosede Jackson

NPI 1033940499 · on the registry since 2024 · sole proprietor

Practice

Address
5009 Peninsula Way Apt 2202
Garland, TX 75043
Phone
(214) 530-7936

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
372500000X
385H00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas