Jacie B White, LVN
Licensed Vocational Nurse in Teague, TX. Individual provider (NPI-1).
NPI number1144716366
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1144716366
- Entity type
- Individual (NPI-1)
- Name
- Miss Jacie B White
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2018
- Last updated
- Jul 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 341805 | TX | Yes |
Practice location
702 S 10th AveTeague, TX 75860-2308
Phone 254-747-0010
Mailing address
4030 Highway 6 S Ste 150College Station, TX 77845-1808
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