JACOB MAYBERRY AS-C
NPI 1437311081
Clinical Nurse Specialist in Bridgeport, TX

Q: What is Jacob Mayberry's NPI number?

The NPI number for Jacob Mayberry is 1437311081. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Q: What is Jacob Mayberry's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Mayberry was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.

Active since June 25, 2008

104 BLUE WATER DR, BRIDGEPORT, TX 76426(940) 683-8078(940) 683-8078 Get Directions Write a Review

NPPES record last updated: June 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Mayberry As-c NPPES

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

JACOB MAYBERRY AS-C (NPI 1437311081) is an individual clinical nurse specialist in Bridgeport, Texas, licensed in Texas (TC08-0326A) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1437311081

Entity TypeIndividualMale

Primary Taxonomy364S00000X

Provider Legal NameJACOB MAYBERRYCredential: AS-C

Location Address104 BLUE WATER DRBridgeport, TX 76426-4336

Mailing Address104 Blue Water DrBridgeport, TX 76426-4336 · (940) 683-8078 · Fax (940) 683-8078

Phone(940) 683-8078

Fax(940) 683-8078

Sole ProprietorYes

Enumeration DateJune 25, 2008

✔ NPI 1437311081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code364S00000X

License✔ Licensed in TX · TC08-0326A

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.

104 BLUE WATER DR, Bridgeport, TX 76426

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACOB MAYBERRY ASSISTING SERVICES

Physician Assistant (Surgical)

104 BLUE WATER DR
BRIDGEPORT, TX 76426

Wise County (281) 463-6309

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 Jacob Mayberry's NPI number?

The NPI number for Jacob Mayberry is 1437311081. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Jacob Mayberry located?

Jacob Mayberry practices at 104 Blue Water Dr, Bridgeport, TX 76426. The listed phone number is (940) 683-8078.

What is Jacob Mayberry's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

When was this NPI record last updated?

The NPPES record for Jacob Mayberry was last updated on June 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.