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JACEELLI HEALTHCARE
NPI 1649811316
Nurse Practitioner in Midlothian, TX

Active since October 03, 2019
213 TIMBERLINE DR, MIDLOTHIAN, TX 76065(832) 215-0223 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2020, Aug 28, 2020, Oct 3, 2019 (3 updates tracked since 2019).

About Jaceelli Healthcare NPPES

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

JACEELLI HEALTHCARE (NPI 1649811316) is a healthcare organization registered as a nurse practitioner in Midlothian, Texas and active in the NPI registry since October 2019. The organization maintains a secondary practice location in Arlington and lists Jude N Abam, Owner / Practitioner, as its authorized official.

NPPES Registry Identity

NPI1649811316
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameJACEELLI HEALTHCARE
Location Address213 TIMBERLINE DRMidlothian, TX 76065-5611
Mailing Address213 Timberline DrMidlothian, TX 76065-5611 · (832) 215-0223
Phone(832) 215-0223
Organization SubpartNo
Authorized OfficialJude N AbamOwner / Practitioner · (832) 215-0223
Enumeration DateOctober 3, 2019
Last NPPES UpdateOctober 30, 20203 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
✔ NPI 1649811316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
213 TIMBERLINE DR, Midlothian, TX 76065
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Secondary Practice Location 1

Location 11011 N Cooper StArlington, TX 76011-5517 · Phone (817) 261-3121

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

HOLY SPRINGS CLINIC
Family Medicine
213 TIMBERLINE DR
MIDLOTHIAN, TX 76065
Ellis County (469) 837-0417

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 Jaceelli Healthcare's NPI number?

The NPI number for Jaceelli Healthcare is 1649811316. It was assigned to this organization in the NPPES registry on October 3, 2019.

Where is Jaceelli Healthcare located?

Jaceelli Healthcare is located at 213 Timberline Dr, Midlothian, TX 76065. The listed phone number is (832) 215-0223.

What is Jaceelli Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jaceelli Healthcare was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.