NPI 1942536347 · live from the CMS NPI Registry
Jodie Rae Archer, FNP
Nurse Practitioner, Pediatrics in Lubbock, TX. National Provider Identifier 1942536347, active.
NPI record
| NPI | 1942536347 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 4102 24th St Ste 504, Lubbock, TX 79410 |
| Practice phone | 806-743-7700 |
| Mailing address | Po Box 5865, Lubbock, TX 79408 |
| Enumerated | October 20, 2009 |
| Last updated | December 3, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family | 363LF0000X | AP118590 (TX) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | AP118590 (TX) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.