MEDICARE: MR. JAMES JASPER ONEILL AHCNS-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
1	364SA2200X	Adult Health Clinical Nurse Specialist	733848	TX

General Provider Information

NPI Number	:	1972759389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES JASPER ONEILL AHCNS-BC

Provider Business Mailing Address
First Line	:	9104 GLENLAKE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-3332
Country	:	US
Telephone Number	:	512-346-3359
Fax Number	:	512-623-5399

Provider Business Practice Location Address
First Line	:	9104 GLENLAKE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78730-3332
Country	:	US
Telephone Number	:	512-346-3359
Fax Number	:	512-623-5399

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2008
Last Update Date	:	01/17/2015

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