Chissy Jackson, LCSW

NPI 1467798975 · on the registry since 2013 · sole proprietor

Practice

Address: 2580 W Camp Wisdom Rd
Suite 100 #135
Grand Prairie, TX 75052
Phone: (817) 688-6264
Organisation at this address: Pgp Pllc
Prime Dental
214 Dental Pllc
214dentalcare Pllc
Ivy Mobile Medical Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2013-01-02

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