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NPI Code Detail

MEDICARE: JACQUELINE WEBER CNM

MEDICARE: JACQUELINE WEBER CNM
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
1367A00000XAdvanced Practice MidwifeAP133198TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P02417077OTHERTXMEDICARE RAIL ROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38MF284OTHERTXBCBS

General Provider Information

NPI Number : 1689113060
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE WEBER CNM
Provider Business Mailing Address
First Line : 1107 E MARSHALL AVE
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-5602
Country : US
Telephone Number : 903-758-2610
Fax Number : 903-758-7081
Provider Business Practice Location Address
First Line : 705 E MARSHALL AVE STE 3000
Second Line :
City : LONGVIEW
State : TX
Zip : 75601-5661
Country : US
Telephone Number : 903-758-2610
Fax Number : 903-758-7081
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2017
Last Update Date : 08/26/2025

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Directions to “ JACQUELINE WEBER CNM” Practice Location

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