MARY A. JAFFE FNP-BC NPI 1497082903

NPI Information

  • NPI: 1497082903
  • Provider Name: MARY A. JAFFE, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7008 SALEM AVE STE 117
    LUBBOCK, TX
    ZIP 79424
  • Phone: (800) 924-7811

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NPI Details

Mary A. Jaffe, FNP-BC is a family nurse practitioner in Lubbock, TX. Mary A. Jaffe, FNP-BC NPI is 1497082903. 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:

7008 SALEM AVE STE 117
LUBBOCK, TX
ZIP 79424-226
Phone: (800) 924-7811
Fax: (877) 349-1868

The NPI 1497082903 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/5/2009 and was last updated on 10/23/2025.

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
1363LF0000XNurse PractitionerFamily1215722TEXASNo
2363LF0000XNurse PractitionerFamilySP034209PENNSYLVANIANo
3363LF0000XNurse PractitionerFamily10865OHIOYes
4363LF0000XNurse PractitionerFamily3006613KENTUCKYNo
5363LF0000XNurse PractitionerFamily4704433967MICHIGANNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11497082903MEDICAIDMICHIGAN

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: 11/21/2025

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