Provider Demographics
NPI:1932531183
Name:JAOKO, MARCELA (APRN)
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:
Last Name:JAOKO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 528
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-0528
Mailing Address - Country:US
Mailing Address - Phone:972-703-9027
Mailing Address - Fax:469-933-2073
Practice Address - Street 1:9705 TEHAMA RIDGE PKWY STE A238
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-7507
Practice Address - Country:US
Practice Address - Phone:972-703-9027
Practice Address - Fax:699-332-0734
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-30
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140374363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily