OrganizationActive
Relyon Practitioner Services, PLLC
NPI 1811351927 · Psychiatric/Mental Health Nurse Practitioner · Desoto, TX
Provider details
- NPI number
- 1811351927
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Nickson-Young, Ceo(469) 231-8206
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
512 N Hampton Rd
303
Desoto, TX 75115-4920
Phone: (469) 231-8206
Fax: (972) 255-3958
Street-level locationGet directions
Mailing address
512 N Hampton Rd
Desoto, TX 75115-4920
Registry dates
- Enumerated
- 2016-04-06
- Last updated
- 2016-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.