Provider Demographics
NPI:1811986276
Name:CHANCE, JAMIE L (MS)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:L
Last Name:CHANCE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:421 N TOM GREEN AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-5145
Mailing Address - Country:US
Mailing Address - Phone:432-582-8757
Mailing Address - Fax:432-582-8928
Practice Address - Street 1:421 N TOM GREEN AVE
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-5145
Practice Address - Country:US
Practice Address - Phone:432-582-8757
Practice Address - Fax:432-582-8928
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS