P Praxis·MD
● Active Type 1 · Individual

Jackie Ijeoma Penn, NP

Nurse Practitioner·Grand Prairie, TX· NPI 1972940260 · Enumerated 2013 · 13 years on NPI
Penn is 1 of 68 nurse practitioner providers in Grand Prairie and 1 of 5095 in Texas.
NPI age
13 years
Enumerated 2013-05-28
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5095 active nurse practitioner providers in Texas.

NPI age
13 years
↑ 9 yr above median (4 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-05Enumerated in NPPES
2013 2026

Where they practice

Practice location
5319 Nueces Ln
Grand Prairie, TX 750522667
📞 2145844103
Mailing address
5319 Nueces Ln
Grand Prairie, TX 750522667
📞 2145844103

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    TX license #1056737 taxonomy 363LP0808X
  • Registered Nurse
    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or...
    TX license #783349 taxonomy 163W00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 2 new nurse practitioner providers have been added in Grand Prairie 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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