Healthcare Provider Details

I. General information

NPI: 1528001831
Provider Name (Legal Business Name): JEANETTE MABRY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36000 DARNELL LOOP ORTHOPAEDIC CLINIC CARL R DARNALL ARMY MEDICAL CENTER
FORT HOOK TX
76544
US

IV. Provider business mailing address

36000 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER
FORT HOOD TX
76544
US

V. Phone/Fax

Practice location:
  • Phone: 254-286-7628
  • Fax: 254-286-7285
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number686557
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number686557
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: