Unknown Individual – Family Nurse Practitioner, NPI 1366648529
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
200, College Street, NR CBD, Beaumont, Jefferson County, Texas, 77701, United States
BEAUMONT, TX 777014612
Phone: (409) 813-2332
Fax: (409) 232-0559
Type: Mailing
561, State Street, Jasper, Jasper County, Texas, 75951, United States
JASPER, TX 759515134
Phone: (409) 384-8990
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77701)
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