Individual provider · Type 1 NPI

Jacquelyn Mari Lopez, PA-S

Student in an Organized Health Care Education/Training Program · Midland, TX

NPI number 1417875535 Active

Practice location

3600 N. Garfiled
Midland, TX 79705

Call (432) 620-1120 Map

Mailing address

109 S Westcliff Rd
Odessa, TX 79763-8126

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417875535

Jacquelyn Mari Lopez, PA-S's National Provider Identifier is 1417875535, issued on Jul 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Midland, TX. The record was last updated on Jul 7, 2026.