Provider Demographics
NPI:1316150626
Name:ISAACKS, DEBORAH (RN, BSN)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:ISAACKS
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1109 KEMPER ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79403-2523
Mailing Address - Country:US
Mailing Address - Phone:806-767-0316
Mailing Address - Fax:806-744-1942
Practice Address - Street 1:1109 KEMPER ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79403-2523
Practice Address - Country:US
Practice Address - Phone:806-767-0316
Practice Address - Fax:806-744-1942
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX517414163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health