Jacob Mayberry, AS-C

Individual Active
NPI 1437311081
Clinical Nurse Specialist Bridgeport, TX

NPI 1437311081 belongs to Jacob Mayberry, AS-C, a clinical nurse specialist with a practice location in Bridgeport, TX. The NPI was issued on June 25, 2008, and the record was last updated in NPPES on June 25, 2008.

This record hasn't been updated in NPPES since 2008. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist Primary 364S00000X TC08-0326A (TX)

Practice location

104 Blue Water Dr
Bridgeport, TX 76426-4336
Phone: (940) 683-8078

Local context

Active NPPES records list 1 provider with clinical nurse specialist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 161 in Texas and 1,928 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Jacob Mayberry
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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