Jeannette C Long in Kerrville - Nurse Practitioner
Jeannette C Long - NPI 1154415909
Jeannette C Long is a Nurse Practitioner in Kerrville, Texas. Jeannette C Long practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jeannette C Long is 1154415909. The last update date is 2007-07-08.
Jeannette C Long's current location address is 721 Thompson Drive, Kerrville, Texas. You can contact this provider via phone number 8308962211. The mailing address for Jeannette C Long is 721 Thompson Drive, Kerrville, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeannette C Long |
|---|---|
| Address | 721 Thompson Drive, Kerrville, Texas |
| Phone Number | 8308962211 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | APNP |
NPI Number Detail
| NPI Number | 1154415909 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 721 Thompson Drive |
|---|---|
| City | Kerrville |
| State | Texas (TX) |
| Post Code | 78028 |
| Phone Number | 8308962211 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 689869 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 170750701 | TX | -- |
Post Comment/ Review Below
What is the Jeannette C Long's 1154415909?
The Jeannette C Long's NPI (National Provider Identifier) Number is 1154415909. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Jeannette C Long is geographically located?
The Jeannette C Long is physically situated at the following location: 721 Thompson Drive, Kerrville, TX, 78028.
What is Jeannette C Long's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeannette C Long's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Jeannette C Long receive the assignment of its 1154415909 from the Centers for Medicare & Medicaid Services?
The Jeannette C Long was issued its 1154415909 by the Centers for Medicare & Medicaid Services on 2006-10-03.
When was the Jeannette C Long's information last updated?
The Jeannette C Long's information was last updated on 2007-07-08.