Mrs Shauntorya Jackson, AGNP - Medicare Nurse Practitioner in Flower Mound, TX

Mrs Shauntorya Jackson, AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Flower Mound, Texas. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lthc Solutions Llc, Advanced Wound Care Of North Texas Pllc and her current practice location is 2281 Olympia Dr, Suite 100, Flower Mound, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 322-0089.

Mrs Shauntorya Jackson is licensed to practice in Texas (license number AP128145) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1104296615.

Contact Information

Mrs Shauntorya Jackson, AGNP
2281 Olympia Dr, Suite 100,
Flower Mound, TX 75028-1857
(469) 322-0089
Not Available



Provider's Profile

Full NameMrs Shauntorya Jackson
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location2281 Olympia Dr, Flower Mound, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shauntorya Jackson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1104296615
  • Provider Enumeration Date: 09/28/2015
  • Last Update Date: 07/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6800190125
  • Enrollment ID: I20160208000910

Medical Identifiers

Medical identifiers for Mrs Shauntorya Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104296615NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner AP128145 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology AP128145 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lthc Solutions Llc438594925413
Advanced Wound Care Of North Texas Pllc731527659910

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Medicare Reassignments

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Entity NameKunik Health, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750550778
PECOS PAC ID: 2961573696
Enrollment ID: O20080624000146

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Entity NameLonestar Hospital Medicine Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518237429
PECOS PAC ID: 6709049703
Enrollment ID: O20120530000620

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Entity NameLthc Solutions Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194182543
PECOS PAC ID: 4385949254
Enrollment ID: O20160302000207

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Entity NameInterventional Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750814737
PECOS PAC ID: 6800173204
Enrollment ID: O20170512002018

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Entity NameAdvanced Wound Care Of North Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366908600
PECOS PAC ID: 7315276599
Enrollment ID: O20190913000101

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Entity NameLong Term Health Careline Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588378830
PECOS PAC ID: 2264882950
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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shauntorya Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Shauntorya Jackson, AGNP
2281 Olympia Dr, Suite 100,
Flower Mound, TX 75028-1857

Ph: () -
Mrs Shauntorya Jackson, AGNP
2281 Olympia Dr, Suite 100,
Flower Mound, TX 75028-1857

Ph: (469) 322-0089

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Nurse Practitioner Nurses in Flower Mound, TX

Deepika Thankanchan, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Cross Timbers Rd Ste 1250, Flower Mound, TX 75028
Phone: 214-488-0121    Fax: 972-459-2656
Mrs. Lakesha Sawyer-strickland,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2601 Sagebrush Dr Ste 102, Flower Mound, TX 75028
Phone: 214-390-4418    
Meghan Hoffmann,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3041 Churchill Dr Ste 300, Flower Mound, TX 75022
Phone: 972-691-1240    
Valerie Ann Probstfeld, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5959 Long Prairie Rd, Flower Mound, TX 75028
Phone: 972-874-6700    
Denise Cole, MSN, RN, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4305 Windsor Centre Trl, Flower Mound, TX 75028
Phone: 972-355-7900    
Olateju Ishola, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1616 Lansdale Dr, Flower Mound, TX 75028
Phone: 469-321-7940    
Laila Nooruddin, A.P.N.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4370 Medical Arts Dr Ste 295, Flower Mound, TX 75028
Phone: 972-691-3777    Fax: 972-691-3666

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