MEDICARE: NURSE SUPERIOR STAFFING SOLUTIONS, LLC

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
1	251J00000X	Nursing Care Agency	921835	TX

General Provider Information

NPI Number	:	1467974360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NURSE SUPERIOR STAFFING SOLUTIONS, LLC

Provider Business Mailing Address
First Line	:	901 NEW MEISTER LN APT 1215
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-5876
Country	:	US
Telephone Number	:	254-371-2202
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 NEW MEISTER LN APT 1215
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-5876
Country	:	US
Telephone Number	:	254-371-2202
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BETHANY TUCKER
Credential	:	RN
Telephone Number	:	254-371-2202

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	07/21/2022

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