Individual provider · Type 1 NPI

Lacie Mae Jennings

Home Health Registered Nurse · Jefferson, TX

NPI number 1114407715 Active

Practice location

120 N Walnut St
Jefferson, TX 75657-1934

Mailing address

PO Box 901
Jefferson, TX 75657-0901

Specialties and licenses

TaxonomyCodeLicense
Home Health Registered Nurse Primary 163WH0200X902156 (TX)

Home Health Registered Nurse: Definition to come...

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About NPI 1114407715

Lacie Mae Jennings's National Provider Identifier is 1114407715, issued on Aug 14, 2018. The primary taxonomy on file is Home Health Registered Nurse (163WH0200X), and the practice location is in Jefferson, TX. The record was last updated on Aug 14, 2018.