SUE WHALEY BAJACKSON RN,MSN,FNP-C
NPI 1104078054
Nurse Practitioner - Primary Care in San Marcos, TX

Active since October 22, 2008
175 MARY MAX CIR, SAN MARCOS, TX 78666(956) 434-1377 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sue Whaley Bajackson Rn,msn,fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUE WHALEY BAJACKSON RN,MSN,FNP-C (NPI 1104078054) is an individual primary care provider in San Marcos, Texas, licensed in Texas (AP102784) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1104078054
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSUE WHALEY BAJACKSONCredential: RN,MSN,FNP-C
Location Address175 MARY MAX CIRSan Marcos, TX 78666-3254
Mailing Address175 Mary Max CirSan Marcos, TX 78666-3254 · (956) 434-1377
Sole ProprietorYes
Enumeration DateOctober 22, 2008
Last NPPES UpdateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
NPI 1104078054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in TX · AP102784
175 MARY MAX CIR, San Marcos, TX 78666

Other Names 1

Former Name (1)Martha Sue Whaley Rn-c,msn,fnp-c

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sue Bajackson's NPI number?

The NPI number for Sue Bajackson is 1104078054. It was assigned to this individual provider in the NPPES registry on October 22, 2008. The provider is also known as Martha Sue Whaley Rn-C,msn,fnp-C.

Where is Sue Bajackson located?

Sue Bajackson practices at 175 Mary Max Cir, San Marcos, TX 78666. The listed phone number is (956) 434-1377.

What is Sue Bajackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Sue Bajackson was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.