Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB MAYBERRY, AS-C
Active Sole ProprietorJACOB MAYBERRY, AS-C is a Clinical Nurse Specialist healthcare provider located in BRIDGEPORT, Texas. NPI 1437311081 is currently active in the NPPES registry. Verify at CMS.
Clinical Nurse Specialist · BRIDGEPORT, TX
Registration Details
- NPI Number
- 1437311081
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2008 (18.181010876269 yrs)
- Last Updated
- Jun 25, 2008
- License
-
TC08-0326A (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 BLUE WATER DRBRIDGEPORT, TX, 764264336Browse TX providers · Browse ZIP 76426
- Phone
- 9406838078
- Fax
- 9406838078
- Primary Specialty
-
Clinical Nurse Specialist
364S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.