Individual provider · Type 1 NPI
Jody Thiele, AGACNP-BC
Acute Care Nurse Practitioner · Houston, TX
NPI number
1689065252
Active
Practice location
6400 Fannin St
Houston, TX 77030-1521
Fax (713) 512-7203
Mailing address
4409 Creekbend Dr
Houston, TX 77035-5011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | AP127299 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1689065252
Jody Thiele, AGACNP-BC's National Provider Identifier is 1689065252, issued on Feb 18, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Houston, TX. The record was last updated on Feb 18, 2015.