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Lacie Mae Jennings
Home Health Registered Nurse in Jefferson, Texas
NPI 1114407715

Lacie Mae Jennings is a Home Health Registered Nurse based in Jefferson, TX and is specialized in Home Health. Lacie Mae Jennings practices in Jefferson, TX. The NPI Number for Lacie Mae Jennings is 1114407715 and holds a License No. 902156 (Texas).

The current practice location address for Lacie Mae Jennings is 120 N Walnut St, Jefferson, TX and can be reached out via phone at 903-665-6131.

Location: 120 N Walnut St, Jefferson, TX, 75657-0901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114407715
Provider Name
Lacie Mae Jennings
Credential
Provider Entity Type
Individual
Gender
Female
Address
120 N Walnut St, Jefferson, TX, 75657-0901
Phone Number
903-665-6131
Fax Number
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 N Walnut St
City
Jefferson
State
Texas
Zip
75657-1934
Phone Number
903-665-6131
Fax Number
person
Provider Business Mailing Address Details
Address
120 N Walnut St
City
Jefferson
State
Texas
Zip
75657-1934
Phone Number
903-665-6131
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Home Health
Taxonomy
163WH0200X
License No.
902156 (Texas)
Definition
Definition to come...
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