Lacie Mae Jennings Valid NPI

Individual provider · Home Health Registered Nurse · Jefferson, TX

NPI

1114407715

Type

Individual (Type 1)

Primary specialty

Home Health Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WH0200X

License number

902156 (TX)

Sex

Female

Sole proprietor

No

Enumerated

2018-08-14

Last updated

2018-08-14