MEDICARE: DR. MAHALIA L JACKSON-BUTLER DNP, APRN

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	363LA2200X	Adult Health Nurse Practitioner	715590	TX
2	363LA2200X	Adult Health Nurse Practitioner	AP117597	TX
3	363LG0600X	Gerontology Nurse Practitioner	AP117597	TX
4	363LP2300X	Primary Care Nurse Practitioner	AP117597	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063669893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAHALIA L JACKSON-BUTLER DNP, APRN

Provider Business Mailing Address
First Line	:	4621 S COOPER ST STE 131-717
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76017-5866
Country	:	US
Telephone Number	:	214-277-2243
Fax Number	:	214-231-2926

Provider Business Practice Location Address
First Line	:	2721 CENTRAL DR
Second Line	:
City	:	BEDFORD
State	:	TX
Zip	:	76021-4810
Country	:	US
Telephone Number	:	214-277-2243
Fax Number	:	214-231-2926

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

Provider Enumeration Date	:	08/22/2008
Last Update Date	:	08/27/2024

Similar Medicare Providers

1528330792 — MEDI- ELITE, PC
Practice Location Address:

2721 CENTRAL DR
BEDFORD, TX
76021-4810

Practice Phone: 682-703-8881
Practice Fax: 706-203-3259

1134208960 — MRS. KATHLEEN BURKE BURKE M.S., C.C.C.
Practice Location Address:

37 MAGAZINE ST
BEDFORD, NH
03110-4810

Practice Phone: 603-472-9732
Practice Fax: 603-472-7168

1184831034 — MS. CARRIE MICHELLE WATKINS MS CCC-SLP
Practice Location Address:

37 MAGAZINE ST
BEDFORD, NH
03110-4810

Practice Phone: 603-472-9732
Practice Fax:

1215122585 — MRS. VERONICA GAIL SWEENEY BSW, LSW
Practice Location Address:

6687 BASSWOOD DR
BEDFORD HEIGHTS, OH
44146-4810

Practice Phone: 440-786-8383
Practice Fax: 216-685-1945

1639769367 — WILLIAM & ANNIE LUE RESIDENTIAL SERVICES LLC
Practice Location Address:

6687 BASSWOOD DR
BEDFORD HEIGHTS, OH
44146-4810

Practice Phone: 216-376-9961
Practice Fax:

1548000672 — SARAH A SOBERANES
Practice Location Address:

401 N BEDFORD ST APT D
LA HABRA, CA
90631-4810

Practice Phone: 714-357-7914
Practice Fax:

Directions to “ DR. MAHALIA L JACKSON-BUTLER DNP, APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.