Individual
JAYNA PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
6624 FANNIN ST FL 19, HOUSTON, TX 77030-2312
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
833237
TX
363L00000X
Nurse Practitioner
Primary
AP134548
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381092101
—
TX
Enumeration date
12/15/2017
Last updated
06/14/2021
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