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Jacob Mayberry, AS-C
Clinical Nurse Specialist in Bridgeport, Texas
NPI 1437311081

Jacob Mayberry is a Clinical Nurse Specialist based in Bridgeport, TX. Jacob Mayberry practices in Bridgeport, TX and has the professional credentials of AS-C. The NPI Number for Jacob Mayberry is 1437311081 and holds a License No. TC08-0326A (Texas).

The current practice location address for Jacob Mayberry is 104 Blue Water Dr, Bridgeport, TX and can be reached out via phone at 940-683-8078 and via fax at 940-683-8078.

Location: 104 Blue Water Dr, Bridgeport, TX, 76426-4336
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437311081
Provider Name
Jacob Mayberry
Credential
AS-C
Provider Entity Type
Individual
Gender
Male
Address
104 Blue Water Dr, Bridgeport, TX, 76426-4336
Phone Number
940-683-8078
Fax Number
940-683-8078
Provider Enumeration Date
06/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
104 Blue Water Dr
City
Bridgeport
State
Texas
Zip
76426-4336
Phone Number
940-683-8078
Fax Number
940-683-8078
person
Provider Business Mailing Address Details
Address
104 Blue Water Dr
City
Bridgeport
State
Texas
Zip
76426-4336
Phone Number
940-683-8078
Fax Number
940-683-8078
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
-
Taxonomy
364S00000X
License No.
TC08-0326A (Texas)
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 the components of direct patient/client care, consultation, education, research and administration.
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