Individual provider · Type 1 NPI

Jaclyn Jo Andrew

Specialist · Wichita Falls, TX

NPI number 1730306572 Active

Practice location

4600 Taft Blvd
Wichita Falls, TX 76308-4935

Call (940) 691-1710 Map

Fax (940) 691-2193

Mailing address

5238 Sunnybrook Ln
Wichita Falls, TX 76310-3497

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X111348 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1730306572

Jaclyn Jo Andrew's National Provider Identifier is 1730306572, issued on Apr 20, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wichita Falls, TX. The record was last updated on Jul 8, 2007.