Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Mayberry, AS-C

Individual provider Clinical Nurse Specialist · NPI 1437311081

Jacob Mayberry, AS-C is a Clinical Nurse Specialist in Bridgeport, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008

Practice location Address checks out

104 Blue Water Dr
Bridgeport, TX 76426-4336
Phone: (940) 683-8078
Fax: (940) 683-8078
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Nurse Specialist (primary) Taxonomy 364S00000X · Licence TC08-0326A (TX)

Record details

NPI number1437311081
Entity typeIndividual (Type 1)
GenderMale
Credentials AS-C
Sole proprietorYes
NPI enumeratedJune 25, 2008
Last updated in NPPESJune 25, 2008
Mailing address104 Blue Water Dr, Bridgeport, TX 76426-4336