Jack Brenden Stookey, FNP-C
Nurse Practitioner, Family in Amarillo, TX. Individual provider (NPI-1).
NPI number1669944666
StatusActive
Last updated in NPPESJan 2, 2019
Details
- NPI
- 1669944666
- Entity type
- Individual (NPI-1)
- Name
- Jack Brenden Stookey
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 2, 2019
- Last updated
- Jan 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 957250 | TX | Yes |
Practice location
7 Medical DrAmarillo, TX 79106-4137
Phone 806-355-9355 · Fax 806-340-7975
Mailing address
7 Medical DrAmarillo, TX 79106-4137
Phone 806-355-9355 · Fax 806-340-7975
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