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NPI Code Detail

MEDICARE: JEMS GERIATRIC SERVICES, INC.

MEDICARE: JEMS GERIATRIC SERVICES, INC.
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
1363LG0600XGerontology Nurse Practitioner539050TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NP8053OTHERTXBCBS PROVIDER

General Provider Information

NPI Number : 1861553943
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEMS GERIATRIC SERVICES, INC.
Provider Business Mailing Address
First Line : 2838 TAYLORCREST
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-6927
Country : US
Telephone Number : 281-778-6882
Fax Number : 281-778-6883
Provider Business Practice Location Address
First Line : 2838 TAYLORCREST
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-6927
Country : US
Telephone Number : 281-778-6882
Fax Number : 281-778-6883
Authorized Official
Title or Position : PRESIDENT
Name : CATHIE N CAMPBELL
Credential : GNP
Telephone Number : 281-778-6882
Provider Enumeration Date : 12/13/2006
Last Update Date : 08/22/2020

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