JACKLYNN EVERETT VIDAURRI APRN FNP-BC NPI 1194599613

NPI Information

NPI: 1194599613
Provider Name: JACKLYNN EVERETT VIDAURRI, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1519 E BUSTAMANTE ST STE B
LAREDO, TX
ZIP 78041
Phone: (956) 568-3009
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Jacklynn Everett Vidaurri, APRN, FNP-BC is a family nurse practitioner in Laredo, TX. Jacklynn Everett Vidaurri, APRN, FNP-BC NPI is 1194599613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1519 E BUSTAMANTE ST STE B
LAREDO, TX
ZIP 78041-305
Phone: (956) 568-3009
Fax: (956) 568-3048

The enumeration date for this NPI number is 11/14/2023 and was last updated on 11/15/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	1141665	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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