Whalio Doctors

NPI 1407339013

Jackie Mier

Practitioner Licensed Practical Nurse Odessa, TX

Practice location

Address
5773 N Stockton Ave, Odessa, TX 79764-9641
Phone
(918) 510-5115
Mailing address
PO Box 69921, Odessa, TX 79769-0921

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 325918 (TX)

Registry record

NPI
1407339013
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Sep 2018
Record last updated
10 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.