Individual
JENNA L HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN-RN
Contact information
Practice address
809 W 19TH ST, ODESSA, TX 79763-2804
(210) 422-2155
Mailing address
809 W 19TH ST, ODESSA, TX 79763-2804
(210) 422-2155
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
966682
TX
Other
Enumeration date
05/19/2019
Last updated
05/19/2019
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