Individual
JACOB BEATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN FNP-C
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2669
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2669
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
F05260309
TX
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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