Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie G Dodd, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1023785045

Jamie G Dodd, AGACNP is a Nurse Practitioner in Texarkana, Texas. Qualified in 2021, 5 years ago. Practices with Full Life Primary Care PLLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

5904 Summerfield Dr
Texarkana, TX 75503-4306
Phone: (430) 200-4350
Fax: (866) 337-1615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5012 Us Hwy 75, Suite 200, Denison, TX 75020 — (903) 465-5012

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1048105 (TX)

Record details

NPI number1023785045
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Full Life Primary Care Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Texarkana