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JACQUELINE EUDORA DEYOUNGE-GERIDEAU PA-C
NPI 1609180645
Physician Assistant in Grand Prairie, TX

Active since August 02, 2010
2455 ROBINSON RD, SUITE 200, GRAND PRAIRIE, TX 75051(972) 522-5665(972) 522-5605 Get Directions Write a Review

NPPES record last updated: August 2, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacqueline Eudora Deyounge-gerideau Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE EUDORA DEYOUNGE-GERIDEAU PA-C (NPI 1609180645) is an individual physician assistant in Grand Prairie, Texas, licensed in Texas (PA01588) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1609180645
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE EUDORA DEYOUNGE-GERIDEAUCredential: PA-C
Location Address2455 ROBINSON RD, SUITE 200Grand Prairie, TX 75051-3852
Mailing Address2455 Robinson Rd, Suite 200Grand Prairie, TX 75051-3852 · (972) 522-5665 · Fax (972) 522-5605
Phone(972) 522-5665
Fax(972) 522-5605
Sole ProprietorNo
Enumeration DateAugust 2, 2010
✔ NPI 1609180645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA01588
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2455 ROBINSON RD, Grand Prairie, TX 75051
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORBERTO J C MONTANI & ASSOCIATES
Internal Medicine (Geriatric Medicine)
2455 ROBINSON RD, 100
GRAND PRAIRIE, TX 75051
Dallas County (972) 264-4221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Deyounge-gerideau's NPI number?

The NPI number for Jacqueline Deyounge-gerideau is 1609180645. It was assigned to this individual provider in the NPPES registry on August 2, 2010.

Where is Jacqueline Deyounge-gerideau located?

Jacqueline Deyounge-gerideau practices at 2455 Robinson Rd Suite 200, Grand Prairie, TX 75051. The listed phone number is (972) 522-5665.

What is Jacqueline Deyounge-gerideau's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Deyounge-gerideau was last updated on August 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.