Organization · NPI-2
1888 Group LLC
Registered Nurse, Registered Nurse First Assistant · Rockwall, TX
NPI number1083413041
StatusActive
Last updated in NPPESMar 12, 2025
Details
- NPI
- 1083413041
- Entity type
- Organization (NPI-2)
- Legal business name
- 1888 Group LLC
- Organization subpart
- No
- Enumeration date
- Mar 12, 2025
- Certification date
- Mar 12, 2025
- Last updated
- Mar 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | – | – | Yes |
Other names
- 1888 Group (Doing Business As)
Practice location
825 W Yellowjacket LnRockwall, TX 75087-4818
Phone 972-772-9166
Mailing address
109 Saint Mary StRockwall, TX 75087-4017
Phone 509-630-1392
Authorized official
Justine Jones
Ceo
5096301392
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