Individual
JODY D. MACKLING
Active
Individual
JODY D. MACKLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
671189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192349204
—
TX
05
—
192349205
—
TX
01
—
75-2616977-027
TRICARE
TX
01
—
752616977118
TRICARE
TX
01
—
855N92
BCBS
TX
01
—
886N35
BCBS
TX
Enumeration date
10/15/2007
Last updated
09/26/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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