Individual provider · NPI-1

Jaci Langham, RN, CDE

Registered Nurse, Diabetes Educator · Arlington, TX

NPI number1740736628
StatusActive
Last updated in NPPESAug 30, 2016

Details

NPI
1740736628
Entity type
Individual (NPI-1)
Name
Mrs. Jaci Langham
Credential
RN, CDE
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2016
Last updated
Aug 30, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WD0400X Registered Nurse, Diabetes Educator770526TXYes

Practice location

4519 Matlock Rd
Suite 135
Arlington, TX 76018-5660

Phone 817-472-8180 · Fax 817-472-7910

Mailing address

4519 Matlock Rd
Suite 135
Arlington, TX 76018-5660

Phone 817-472-8180 · Fax 817-472-7910

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