# MS. MARIE JEMIE MENDOZA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1720457054
- **Gender:** F
- **Credential:** AG ACNP-BC, ACCNS-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | AP129028 | TX | — |
| 363LA2100X | Acute Care Nurse Practitioner | AP129028 | TX | Yes |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | AP129028 | TX | — |
| 363LG0600X | Gerontology Nurse Practitioner | AP129028 | TX | — |
| 364S00000X | Clinical Nurse Specialist | AP129028 | TX | — |
| 364SA2100X | Acute Care Clinical Nurse Specialist | AP129028 | TX | — |
| 364SA2200X | Adult Health Clinical Nurse Specialist | AP129028 | TX | — |
| 364SC0200X | Critical Care Medicine Clinical Nurse Specialist | AP129028 | TX | — |
| 364SG0600X | Gerontology Clinical Nurse Specialist | AP129028 | TX | — |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 01/13/2016