Organization · Type 2 NPI

Lamar University Student Health CTR

Nurse Practitioner · Beaumont, TX

NPI number 1003129891 Active

Practice location

857 E Virginia St
Beaumont, TX 77705-5546

Fax (409) 880-7703

Mailing address

P O Box 10015, 857 E Virginia
Beaumont, TX 77710-5546

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X618115 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

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About NPI 1003129891

Lamar University Student Health CTR's National Provider Identifier is 1003129891, issued on Jul 21, 2010. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beaumont, TX. The record was last updated on Jul 21, 2010.