Individual
MS. JOANNE MARIE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 704-5437
Mailing address
505 BASTROP ST APT 210, HOUSTON, TX 77003-2217
(512) 466-1802
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
710421
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP113608/RN 710421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198160706
—
TX
01
—
8FQ813
BCBS
TX
Enumeration date
12/04/2006
Last updated
05/04/2023
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