Healthcare Provider Details

I. General information

NPI: 1811249188
Provider Name (Legal Business Name): JESSICA RENEE MACABU CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA RENEE SARKEES CPNP

II. Dates (important events)

Enumeration Date: 10/10/2012
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

812 US HWY 377 STE 100
ARGYLE TX
76226-4557
US

IV. Provider business mailing address

812 US HWY 377 STE 100
ARGYLE TX
76226-4557
US

V. Phone/Fax

Practice location:
  • Phone: 469-405-6638
  • Fax:
Mailing address:
  • Phone: 469-405-6638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number713024
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: