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General NPI Number Information
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NPI Number | 1417928953
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Entity Type | Organization
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Legal Business Name | NURSE PRACTITIONER GROUP OF CORPUS CHRISTI
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 4444 CORONA DR STE 137
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4323
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Country | US
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Telephone | 361-985-1221
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Fax | 361-985-1295
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Provider Business Mailing Address
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Address Line | PO BOX 6696
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City | CORPUS CHRISTI
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State | TX
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Zip | 78466-6696
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Country | US
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Telephone | 361-985-1221
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Fax | 361-985-1295
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. DONNA G JACKSON
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Credential | FNP MSN
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Telephone | 361-985-1221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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