Archer, Jodie Rae

Archer, Jodie Rae is an individual health care provider with primary practice located at 4102 24Th St Ste 504 , Lubbock TX 79410-1805. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Archer, Jodie Rae can be contacted via phone (806) 743-7700.

Contact Information

Primary practice address
4102 24Th St Ste 504 Lubbock TX 79410-1805
Phone: (806) 743-7700
Fax: (806) 743-7703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP118590 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP118590 Texas

Profile Details

NPI number 1942536347
LBN Legal business name Archer, Jodie Rae
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2009
Last updated Dec 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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