Doctor Name: | JENNIFER PEARSON |
NPI Number: | 1013104850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 606840 |
Business Practice Address: | 1307 Primrose Marble Falls, TX - 786545175 |
Business Phone Number: | 5127892009 |
Business Fax Number: | |
Mailing Address: | 4491 Park Road 4 S, BURNET |
State: | TX |
Postal Code: | 786115806 |
Phone Number: | 5127892009 |
Fax Number: | 5127567105 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 606840 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |