Jacob Mayberry in Bridgeport - Clinical Nurse Specialist
Jacob Mayberry - NPI 1437311081
Jacob Mayberry is a Clinical Nurse Specialist in Bridgeport, Texas. Jacob Mayberry practices all healthcare services and medical treatments related to Clinical Nurse Specialist. The NPI Number for Jacob Mayberry is 1437311081. The last update date is 2008-06-25.
Jacob Mayberry's current location address is 104 Blue Water Dr, Bridgeport, Texas. You can contact this provider via phone number 9406838078 and fax number 9406838078. The mailing address for Jacob Mayberry is 104 Blue Water Dr, Bridgeport, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Mayberry |
|---|---|
| Address | 104 Blue Water Dr, Bridgeport, Texas |
| Phone Number | 9406838078 |
| Fax Number | 9406838078 |
| Sole Proprietor | Y |
| Credentials | AS-C |
NPI Number Detail
| NPI Number | 1437311081 |
|---|---|
| Provider Enumeration Date | 2008-06-25 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 104 Blue Water Dr |
|---|---|
| City | Bridgeport |
| State | Texas (TX) |
| Post Code | 764264336 |
| Phone Number | 9406838078 |
| Fax Number | 9406838078 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Nurse Specialist |
|---|---|
| Taxonomy | 364S00000X |
| Licence No | TC08-0326A |
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Definition: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of th |
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Post Comment/ Review Below
What is the unique identifier code issued to Jacob Mayberry by the Centers for Medicare & Medicaid Services (CMS)?
The Jacob Mayberry has been assigned the NPI (National Provider Identifier) 1437311081. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jacob Mayberry?
The Jacob Mayberry is situated at 104 Blue Water Dr, in the city of Bridgeport, state of TX, with the zip code 764264336.
What is Jacob Mayberry's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jacob Mayberry's area of specialization is Clinical Nurse Specialist, and the corresponding taxonomy code that categorizes this field of practice is 364S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437311081 to Jacob Mayberry?
The Centers for Medicare & Medicaid Services assigned the 1437311081 to Jacob Mayberry on 2008-06-25.
As of what date were the details pertaining to Jacob Mayberry last refreshed?
The information related to the Jacob Mayberry, including its address, specialty, and other relevant details, was last updated on 2008-06-25.