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NPI Code Detail

MEDICARE: JACLYN GABBERT

MEDICARE: JACLYN GABBERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist1210336TX
2163W00000XRegistered Nurse95196169CA
3367500000XCertified Registered Nurse Anesthetist95002633CA

General Provider Information

NPI Number : 1477357275
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACLYN GABBERT
Provider Business Mailing Address
First Line : 5012 BELLEVUE FALLS LN
Second Line :
City : SUGAR LAND
State : TX
Zip : 77479-6783
Country : US
Telephone Number : 281-797-2659
Fax Number :
Provider Business Practice Location Address
First Line : 12222 MERIT DR STE 600
Second Line :
City : DALLAS
State : TX
Zip : 75251-3294
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2025
Last Update Date : 03/04/2026

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Directions to “ JACLYN GABBERT ” Practice Location

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