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

Jackeline Perez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114612041

Jackeline Perez is a Student in an Organized Health Care Education/Training Program in Corsicana, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1661 W 2nd Ave
Corsicana, TX 75110-4107
Phone: (903) 872-1661
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 41577 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114612041
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 6, 2023
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address3909 Livingston Ave, Fort Worth, TX 76110-6063

Other providers in Corsicana