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Individual

JAMIE G DODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP

Contact information

Practice address
5904 SUMMERFIELD DR, TEXARKANA, TX 75503-4306
(430) 200-4350
(866) 337-1615
Mailing address
92 MEADOW HILL LN, SHERMAN, TX 75090-5189
(580) 579-1188

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1048105
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1048105
TX BON LICENSE NUMBER
TX
Enumeration date
08/26/2021
Last updated
12/04/2023
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