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

Jaclyn Theresa Channell, AGACNP

Individual provider Critical Care Medicine Registered Nurse · NPI 1700419421

Jaclyn Theresa Channell, AGACNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2019, 7 years ago. Practices with Dfw Critical Care LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

221 W Colorado Blvd Ste 525
Dallas, TX 75208-2312
Phone: (214) 956-4525
Fax: (214) 960-5681
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1400 8th Ave, Fort Worth, TX 76104-4110 — (817) 255-9977

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP145190 (TX)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 792582 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP145190 (TX)

Record details

NPI number1700419421
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dfw Critical Care Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dallas