Provider Demographics
NPI:1396418745
Name:SINGLETARY, JAYSON (MSN, ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:JAYSON
Middle Name:
Last Name:SINGLETARY
Suffix:
Gender:M
Credentials:MSN, ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 SPRINGHILL DR
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2212
Mailing Address - Country:US
Mailing Address - Phone:228-547-8282
Mailing Address - Fax:
Practice Address - Street 1:2221 AVENUE J
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-5867
Practice Address - Country:US
Practice Address - Phone:817-635-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1047006363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care