Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ratrice Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114426830

Dr. Ratrice Jackson is a Student in an Organized Health Care Education/Training Program in Irving, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1932 N Story Rd
Irving, TX 75061-1936
Phone: (469) 299-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 35968 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114426830
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 8, 2018
Last updated in NPPESJune 5, 2020
Certification dateJune 5, 2020
Mailing address1932 N Story Rd, Irving, TX 75061-1936

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