MEDICARE: JACQUESHA FILES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	1216285	TX

General Provider Information

NPI Number	:	1053264838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUESHA FILES

Provider Business Mailing Address
First Line	:	6633 JOHN HICKMAN PKWY APT 602
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75034-9756
Country	:	US
Telephone Number	:	331-312-1171
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 LITTLE ELM PKWY STE 100-444
Second Line	:
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-6672
Country	:	US
Telephone Number	:	331-312-1171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/19/2026

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Directions to “ JACQUESHA FILES ” Practice Location

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