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

Mrs. Jacqueline Denise Nickson-Young, GNP-BC, APMHNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1891835484

Mrs. Jacqueline Denise Nickson-Young, GNP-BC, APMHNP-C is a Nurse Practitioner in Desoto, Texas. Qualified in 1990, 36 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
36
Licensed in
TX
In the registry since
2007
Specialties on file
2

Practice location Address checks out

512 N Hampton Rd # 303
Desoto, TX 75115-4920
Phone: (469) 734-4990
Fax: (972) 255-3958
Show map & directions

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

Additional practice locations (2)

  • 1229 E Pleasant Run Rd Ste 126, Desoto, TX 75115-4211 — (469) 734-4990
  • 2800 E Broad St Ste 400, Mansfield, TX 76063-6414 — (817) 460-7080

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP108917 (TX)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 568271 (TX)

Record details

NPI number1891835484
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP-BC , APMHNP-C
Sole proprietorNo
NPI enumeratedFebruary 6, 2007
Last updated in NPPESDecember 19, 2024
Certification dateDecember 19, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Desoto