Dorman, Jacquelynn

Dorman, Jacquelynn is an individual health care provider with primary practice located at 1330 E 8Th St Ste 414 , Odessa TX 79761-4733. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adult Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Dorman, Jacquelynn can be contacted via phone (432) 614-2176.

Contact Information

Primary practice address
1330 E 8Th St Ste 414 Odessa TX 79761-4733
Phone: (432) 614-2176
Fax: (432) 614-0876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X AP140013 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP140013 Texas

Profile Details

NPI number 1962068981
LBN Legal business name Dorman, Jacquelynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2019
Last updated Mar 21st, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1962068981 NPPES
Texas MEDICAID 3999732

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