Jacob Mayberry, AS-C - Clinical Nurse Specialist in Bridgeport, TX

Jacob Mayberry, AS-C is a Clinical Nurse Specialist based in Bridgeport, Texas. Jacob Mayberry is licensed to practice in Texas (license number TC08-0326A) and his current practice location is 104 Blue Water Dr, Bridgeport, Texas. He can be reached at his office (for appointments etc.) via phone at (940) 683-8078.

NPI number for Jacob Mayberry is 1437311081 and his current mailing address is 104 Blue Water Dr, Bridgeport, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437311081.

Contact Information

Jacob Mayberry, AS-C
104 Blue Water Dr,
Bridgeport, TX 76426-4336
(940) 683-8078
(940) 683-8078

Map and Direction




Provider's Profile

Full NameJacob Mayberry
GenderMale
SpecialityClinical Nurse Specialist
Location104 Blue Water Dr, Bridgeport, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437311081
  • Provider Enumeration Date: 06/25/2008
  • Last Update Date: 06/25/2008

Medical Identifiers

Medical identifiers for Jacob Mayberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437311081NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364S00000XClinical Nurse Specialist TC08-0326A (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Mayberry is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacob Mayberry, AS-C
104 Blue Water Dr,
Bridgeport, TX 76426-4336

Ph: (940) 683-8078
Jacob Mayberry, AS-C
104 Blue Water Dr,
Bridgeport, TX 76426-4336

Ph: (940) 683-8078

Reviews and Comments


Clinical Nurse Specialist Nurses in Bridgeport, TX


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