Jacob Mayberry, AS-C
NPI #1437311081 in Bridgeport, Texas
Provider Information
- NPI Number
- 1437311081
- Entity Type
- Individual
- Name
- Jacob Mayberry, AS-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Nurse Specialist
- Credential
- AS-C
- Enumeration Date
- Jun 25, 2008
- Last Updated
- Jun 25, 2008
Practice Location
- Address
- 104 BLUE WATER DR
- City
- Bridgeport
- State
- Texas
- ZIP Code
- 76426-4336
- Phone
- (940) 683-8078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Nurse Specialist |
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