JEANETTA MAYBERRY


Address: 103 E Gladiola St, White Oak, TX 75693-1707
Phone: 9032354741

JEANETTA MAYBERRY (NPI# 1316552755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316552755
Entity Type Individual
Full Name JEANETTA MAYBERRY
Practice Address 103 E Gladiola St
White Oak
TX 75693-1707
Practice Telephone 9032354741
Mailing Telephone 9032354741
Enumeration Date 2020-09-12
Last Update Date 2020-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
982157 TX Nursing Service Providers

Office Location

Street Address 103 E GLADIOLA ST
City WHITE OAK
State TX
Zip Code 75693-1707

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073621884 John Keith Pannell Dentist 601 S White Oak Rd, White Oak, TX 75693 2006-08-29
1194326751 Sommer Nicole Toler Registered Nurse 310 Ferndale St, White Oak, TX 75693-1130 2020-11-02
1588164305 Susan Jean Mcfarland Respiratory Therapist, Certified 104 N Stewart St Unit H, White Oak, TX 75693-1226 2018-02-19
1952627168 Carmalita Denise Hogan Case Management 104 N Stewart St, Apt #f, White Oak, TX 75693-1226 2010-04-13
1073826236 Angela Gail Odom Speech-Language Pathologist 413 N Sherwood Dr, White Oak, TX 75693-1339 2010-07-16
1124362827 Planet Rehab Therapy Services, Pllc Occupational Therapist 413 N Sherwood Dr, White Oak, TX 75693-1339 2012-11-19
1366794992 Planet Rehab Therapy Solutions, Pllc Speech-Language Pathologist 413 N Sherwood Dr, White Oak, TX 75693-1339 2012-10-05
1558985010 Michaela Martinez Registered Nurse 409 E Forest Dr, White Oak, TX 75693-1363 2020-06-01
1407940059 Willand, Inc Day Training, Developmentally Disabled Services 907 S White Oak Rd, White Oak, TX 75693-1429 2006-10-03
1679600803 Marlo Hood Social Worker 201 S Stewart St, White Oak, TX 75693-1515 2007-02-27
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1144832429 Beverly A Brown Registered Nurse 401 Shadow Grass Ave, Fort Worth, TX 76120-1637 2020-08-19
1902414451 Patricia Kay Rogers Registered Nurse 5760 Legacy Dr # B3-145, Plano, TX 75024-7102 2020-07-21
1023636321 Eleanor Weltge Registered Nurse 1415 Nashua St Unit B, Houston, TX 77008-3747 2020-07-13
1427676378 Karleen Watson Registered Nurse 1718 Oneal St, Lancaster, TX 75134-4127 2020-07-08
1396362810 Darleneya Michelle Robinson Registered Nurse 3106 Gladiolus Ln, Dallas, TX 75233-3910 2020-06-30
1629692538 Rayshard Jarrell Lewis Registered Nurse 123 Cavalry Trl, Elgin, TX 78621-4199 2020-06-05
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Competitor

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City WHITE OAK
Zip Code 75693

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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