Jacqueline Deyounge-Gerideau, PA-C

NPI 1609180645 · on the registry since 2010

Practice

Address: 2455 Robinson Rd
Suite 200
Grand Prairie, TX 75051
Phone: (972) 522-5665
Fax: (972) 522-5605
Organisation at this address: Keturah Health, Llc
Divine Grace Family Clinic Inc
Norberto J C Montani & Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-08-02

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