Provider Demographics
NPI:1033748389
Name:GARZA, JAMIE ELIZABETH (APRN, CNM)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:ELIZABETH
Last Name:GARZA
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4002 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-7204
Mailing Address - Country:US
Mailing Address - Phone:432-634-0508
Mailing Address - Fax:
Practice Address - Street 1:1606 TARLETON ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79703-5119
Practice Address - Country:US
Practice Address - Phone:432-634-0508
Practice Address - Fax:432-224-1462
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1073646367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife