JODIE RAE ARCHER FNP NPI 1942536347

NPI Information

NPI: 1942536347
Provider Name: JODIE RAE ARCHER, FNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4102 24TH ST STE 504
LUBBOCK, TX
ZIP 79410
Phone: (806) 743-7700
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Jodie Rae Archer, FNP is a pediatrics nurse practitioner in Lubbock, TX. Jodie Rae Archer, FNP NPI is 1942536347. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4102 24TH ST STE 504
LUBBOCK, TX
ZIP 79410-805
Phone: (806) 743-7700
Fax: (806) 743-7703

The NPI 1942536347 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 12/3/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	AP118590	TEXAS	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AP118590	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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