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Export Provider Record NPI 1366591810
Jean M HerzogNP
Active
NPI Number1366591810
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner, Family
Provider Details
NPI1366591810
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2007-01-10
Last Updated2016-12-07
Mailing AddressPo Box 18962
Belfast, ME 04915-4084
United States
Phone: (800) 566-5050 | Fax: (254) 537-6869
📍 View Map
Primary Practice Address7104 New Sanger Rd
Waco, TX 76712-3928
United States
Phone: (254) 537-6270 | Fax: (254) 537-6271
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363LF0000X – Nurse Practitioner, FamilyTXAP105920
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About NPI 1366591810

Jean M Herzog NP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1366591810. The primary specialty listed is Nurse Practitioner, Family. The provider is located in Waco, TX. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1366591810?

NPI 1366591810 belongs to Jean M Herzog NP, a Nurse Practitioner, Family in Waco, TX. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1366591810 active?

The current status of NPI 1366591810 in the NPPES registry is Active. The record was last updated on 2016-12-07.

What specialty is NPI 1366591810?

NPI 1366591810 is classified under the taxonomy Nurse Practitioner, Family. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1366591810?

You can verify NPI 1366591810 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1366591810?

The primary practice address on file for NPI 1366591810 is 7104 New Sanger Rd, Waco, TX 76712-3928. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1366591810 issued?

NPI 1366591810 was first issued (enumerated) on 2007-01-10. The NPPES record was last updated on 2016-12-07.

Practice Location Map

Jean M Herzog is located at 7104 New Sanger Rd, Waco, TX. Use the map below to find directions or verify the practice location.

📍 7104 New Sanger Rd, Waco, TX 76712-3928  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Jean M Herzog. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1366591810. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner, FamilyAP105920TX
Data Verified from CMS NPPES Last synced: 2026-08-18 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162