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NPI Code Detail

MEDICARE: JARED M WARD PMHNP-BC

MEDICARE: JARED M WARD PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1037607TX

General Provider Information

NPI Number : 1720873698
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED M WARD PMHNP-BC
Provider Business Mailing Address
First Line : 2022 JASON AVE
Second Line :
City : LUBBOCK
State : TX
Zip : 79407-3006
Country : US
Telephone Number : 949-246-9195
Fax Number :
Provider Business Practice Location Address
First Line : 4202 PRINCETON ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79415-1308
Country : US
Telephone Number : 806-515-7473
Fax Number : 806-705-8978
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2025
Last Update Date : 04/16/2026

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Directions to “ JARED M WARD PMHNP-BC” Practice Location

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