JEANETTA MAYBERRY
NPI 1316552755
Registered Nurse - General Practice in White Oak, TX
Active since September 12, 2020
About Jeanetta Mayberry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEANETTA MAYBERRY (NPI 1316552755) is an individual general practice provider in White Oak, Texas, licensed in Texas (982157) and active in the NPI registry since September 2020.
NPPES Registry Identity
NPI1316552755
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameJEANETTA MAYBERRY
Location Address103 E GLADIOLA STWhite Oak, TX 75693-1707
Mailing Address103 E Gladiola StWhite Oak, TX 75693-1707 · (903) 235-4741
Phone(903) 235-4741
Sole ProprietorNo
Enumeration DateSeptember 12, 2020
NPPES CertifiedSeptember 12, 2020
✔ NPI 1316552755 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in TX · 982157
103 E GLADIOLA ST, White Oak, TX 75693
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316552755, enumerated as an "individual" on September 12, 2020.
The provider is located at 103 E GLADIOLA ST WHITE OAK, TX 75693 and the phone number is (903) 235-4741.
Registered Nurse with taxonomy code 163WG0000X and a focus in General Practice.
