1. Home
  2. Directory
  3. Texas
  4. Tenaha
  5. Nurse Practitioner
  6. NPI Profile

JEAN YOUNGSTROM DIEBOLT RN FNP
NPI 1487667143
Nurse Practitioner - Family in Tenaha, TX

Active since August 14, 2006
157 WALL ST, TENAHA, TX 75974(936) 248-4673(936) 248-4646 Get Directions Write a Review

NPPES record last updated: December 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jean Youngstrom Diebolt Rn Fnp NPPES

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

JEAN YOUNGSTROM DIEBOLT RN FNP (NPI 1487667143) is an individual family provider in Tenaha, Texas, licensed in Texas (221153) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1487667143
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEAN YOUNGSTROM DIEBOLTCredential: RN FNP
Location Address157 WALL STTenaha, TX 75974-5413
Mailing AddressPo Box 1584Center, TX 75935-1584 · (936) 248-4673 · Fax (936) 248-4646
Phone(936) 248-4673
Fax(936) 248-4646
Sole ProprietorNo
Enumeration DateAugust 14, 2006
Last NPPES UpdateDecember 23, 2010
✔ NPI 1487667143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 221153
157 WALL ST, Tenaha, TX 75974
Open in Google Maps ↗

Other Identifiers 3

Medicaid164735601TX
Medicare UPINS64639TX
Medicare ID-Type Unspecified00904VTX

Other Providers at the Same Location NPPES 7

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

MRS. CAROLYN H BURNETT LCSW
Social Worker (Clinical)
157 WALL ST
TENAHA, TX 75974
Shelby County (936) 248-4673
HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
157 WALL ST
TENAHA, TX 75974
Shelby County (936) 248-4673
HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS, INC.
Clinic/Center (Rural Health)
157 WALL ST
TENAHA, TX 75974
Shelby County (936) 248-4673
ALIX CLAIRE BARR FNP-C
Nurse Practitioner (Family)
157 WALL ST
TENAHA, TX 75974
Shelby County (936) 591-8380
HEALTH OPPORTUNITIES FOR THE PEOPLE OF EAST TEXAS
Nurse Practitioner (Family)
157 WALL ST
TENAHA, TX 75974
Shelby County (936) 248-4673
HAFIZA R TITHI PA
Physician Assistant
157 WALL ST
TENAHA, TX 75974
Shelby County (936) 248-4673
MRS. JANET MARIE HANEY RN FNP-BC
Nurse Practitioner (Family)
157 WALL ST
TENAHA, TX 75974
Shelby County (936) 248-4673

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 Jean Diebolt's NPI number?

The NPI number for Jean Diebolt is 1487667143. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Jean Diebolt located?

Jean Diebolt practices at 157 Wall St, Tenaha, TX 75974. The listed phone number is (936) 248-4673.

What is Jean Diebolt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jean Diebolt was last updated on December 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.