Individual provider · Type 1 NPI

Jodie Rae Archer, FNP

Pediatric Nurse Practitioner · Lubbock, TX

NPI number 1942536347 Active

Practice location

4102 24th St Ste 504
Lubbock, TX 79410-1805

Fax (806) 743-7703

Mailing address

PO Box 5865
Lubbock, TX 79408-5865

Other practice locations

  • 4102 24th St, Suite 410, Lubbock, TX 79410-1806 · (806) 743-7700

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP118590 (TX)
Pediatric Nurse Practitioner Primary 363LP0200XAP118590 (TX)

Pediatric Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1942536347

Jodie Rae Archer, FNP's National Provider Identifier is 1942536347, issued on Oct 20, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lubbock, TX. The record was last updated on Dec 3, 2021.