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Jolene Ackley
Private Vehicle in Gladewater, Texas
NPI 1164957692

Jolene Ackley is a Private Vehicle based in Gladewater, TX. Jolene Ackley practices in Gladewater, TX. The NPI Number for Jolene Ackley is 1164957692 and holds a License No. 07767775 (Texas).

The current practice location address for Jolene Ackley is 500 W Marshall Ave, Gladewater, TX and can be reached out via phone at 903-470-0510.

Location: 500 W Marshall Ave, Gladewater, TX, 75647-2110
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164957692
Provider Name
Jolene Ackley
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 W Marshall Ave, Gladewater, TX, 75647-2110
Phone Number
903-470-0510
Fax Number
Provider Enumeration Date
04/21/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 W Marshall Ave
City
Gladewater
State
Texas
Zip
75647-2110
Phone Number
903-470-0510
Fax Number
person
Provider Business Mailing Address Details
Address
500 W Marshall Ave
City
Gladewater
State
Texas
Zip
75647-2110
Phone Number
903-470-0510
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
07767775 (Texas)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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