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Jacquelynn Dorman, FNP
Family Nurse Practitioner in Odessa, Texas
NPI 1962068981

Jacquelynn Dorman is a Family Nurse Practitioner based in Midland, TX and is specialized in Family. Jacquelynn Dorman practices in Odessa, TX and has the professional credentials of FNP. The NPI Number for Jacquelynn Dorman is 1962068981 and holds a License No. AP140013 (Texas).

The current practice location address for Jacquelynn Dorman is 4060 Medical Park Dr, Odessa, TX and can be reached out via phone at 432-582-2882 and via fax at 432-582-2884.

Location: 4060 Medical Park Dr, Odessa, TX, 79706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962068981
Provider Name
Jacquelynn Dorman
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4060 Medical Park Dr, Odessa, TX, 79706
Phone Number
432-582-2882
Fax Number
432-582-2884
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3999732 05 TX
institution
Provider Business Practice Location Address Details
Address
4060 Medical Park Dr
City
Odessa
State
Texas
Zip
79765-2233
Phone Number
432-582-2882
Fax Number
432-582-2884
person
Provider Business Mailing Address Details
Address
4060 Medical Park Dr
City
Odessa
State
Texas
Zip
79765-2233
Phone Number
432-582-2882
Fax Number
432-582-2884
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
AP140013 (Texas)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP140013 (Texas)
Definition
Definition to come...
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