Jacie B White, LVN
Individual provider Active NPI Licensed Vocational Nurse · Teague, TX
NPI 1144716366 · NPPES record last updated Jul 11, 2018
Key facts
- NPI
- 1144716366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 341805 (TX)
- Practice address
- 702 S 10TH Ave
Teague, TX 75860-2308 - Phone
- (254) 747-0010
- NPI assigned
- Jul 11, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 341805 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 341805 | TX | Yes |
Addresses
Primary practice location
702 S 10TH Ave
Teague, TX 75860-2308
Mailing address
4030 Highway 6 S Ste 150
College Station, TX 77845-1808
Other providers in Teague, TX
- South Limestone Hospital District
- Teague Hospital Authority
- Teague I Enterprises, LLC
- Teague Independent School District
- Teague LTC Partners, Inc.
All providers in Teague, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.