Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE EUDORA DEYOUNGE-GERIDEAU, PA-C
ActiveJACQUELINE EUDORA DEYOUNGE-GERIDEAU, PA-C is a Physician Assistant healthcare provider located in GRAND PRAIRIE, Texas. NPI 1609180645 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GRAND PRAIRIE, TX
Registration Details
- NPI Number
- 1609180645
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2010 (15.849832312389 yrs)
- Last Updated
- Aug 2, 2010
- License
-
PA01588 (TX)
Practice Information
- Address
-
2455 ROBINSON RDSUITE 200GRAND PRAIRIE, TX, 750513852Browse TX providers · Browse ZIP 75051
- Phone
- 9725225665
- Fax
- 9725225605
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GRAND PRAIRIE, TX
| Name | Credential | NPI |
|---|---|---|
| MR. MCKINLEY PHILIP JR. | P.A. | 1619914728 |
| NICOLE E TRIBBLE | PA-C | 1568562957 |
| MR. VITUS UCHENNA NWAFOR | P.A. | 1558493965 |
| MR. LUIS SIERRA-NIEVES | P.A.C. | 1336367952 |
| MS. ANGELA LAYTON HYDEN | PA | 1447575162 |
| GARY WATKINS | PA | 1225336522 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.