Miss Jacie B White, LVN is a
Licensed Vocational Nurse based in Teague, Texas. Miss Jacie B White is licensed to practice in Texas (license number 341805) and her current practice location is
702 S 10th Ave, Teague, Texas. She can be reached at her office (for appointments etc.) via phone at
(254) 747-0010.
NPI number for Miss Jacie B White is 1144716366 and her current mailing address is 4030 Highway 6 S Ste 150, College Station, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1144716366.
Provider's Profile
Full Name | Miss Jacie B White |
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Gender | Female |
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Speciality | Licensed Vocational Nurse |
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Location | 702 S 10th Ave, Teague, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1144716366
- Provider Enumeration Date: 07/11/2018
- Last Update Date: 07/11/2018
Medical Identifiers
Medical identifiers for Miss Jacie B White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144716366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164X00000X | Licensed Vocational Nurse | 341805 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Jacie B White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Miss Jacie B White, LVN 4030 Highway 6 S Ste 150, College Station, TX 77845-1808 Ph: () - | Miss Jacie B White, LVN 702 S 10th Ave, Teague, TX 75860-2308 Ph: (254) 747-0010 |
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