Individual
JACQUELINE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
705 E MARSHALL AVE STE 3000, LONGVIEW, TX 75601-5661
(903) 758-2610
(903) 758-7081
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-7081
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP133198
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372147403
—
TX
01
—
8MF284
BCBS
TX
01
—
P02417077
MEDICARE RAIL ROAD
TX
Enumeration date
02/17/2017
Last updated
08/26/2025
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