P Praxis·MD
● Active Type 1 · Individual

Jaclyn Theresa Channell, AGACNP

Nurse Practitioner·Dallas, TX· NPI 1700419421 · Enumerated 2020 · 6 years on NPI
Channell is 1 of 446 nurse practitioner providers in Dallas and 1 of 3226 in Texas.
NPI age
6 years
Enumerated 2020-02-20
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-26
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3226 active nurse practitioner providers in Texas.

NPI age
6 years
≈ at median (6 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
2
In the 30% of peers with subspecialties

NPI lifetime · 2020 → 2026

2020-02Enumerated in NPPES
2020 2026

Where they practice

Practice location
221 W Colorado Blvd Ste 525
Dallas, TX 752082312
📞 2149564525fax 2149605681
Mailing address
5264 Katy Rose Ct
Fort Worth, TX 761263053
📞 8179079467

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1400 8th Ave
Fort Worth, TX 761044110
📞 8172559977

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #AP145190 taxonomy 363LA2100X
  • Nurse Practitioner
    Definition to come...
    TX license #AP145190 taxonomy 363LG0600X
  • Registered Nurse
    Definition to come...
    TX license #792582 taxonomy 163WC0200X

Practice context

Part of a multi-provider practice. 106 other active providers share this practice address in NPPES.

Recently enumerated nearby: 14 new nurse practitioner providers have been added in Dallas in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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