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NPISignal

Individual Healthcare Provider

Roxanne D. Dudley, RN, PMHNP-BC, LPC

NPI Record: ActiveNurse Practitioner — Psychiatric/Mental Health
NPI1922244904
Jacksonville, Texas

Provider's NPPES record last updated: July 21, 2022

Overview

Entity Type
Individual Healthcare Provider
NPI
1922244904
Primary Specialty
Nurse Practitioner — Psychiatric/Mental Health
Practice Location
Jacksonville, Texas
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 8:11 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Nurse Practitioner

    Psychiatric/Mental Health

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 363LP0808X
  • Counselor

    Behavioral Health & Social Service Providers

    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

    Taxonomy code 101Y00000X

Provider-Reported License Information

Nurse Practitioner (Texas)
AP134786
Counselor (Texas)
62107
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1011 College Ave

Jacksonville, Texas 75766-3307

Phone: (903) 589-9000

Additional Practice Location

1405 S Fleishel Ave

Suite #332

Tyler, Texas 75701-3345

Phone: (512) 573-8026

Additional Practice Location

3320 S Loop 256

Palestine, Texas 75801-6984

Phone: (903) 723-6136

Record Information

Enumeration Date
December 23, 2008
Provider's NPPES Record Last Updated
July 21, 2022
NPISignal NPPES Dataset
August 2026

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