Individual
JO NELL COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., ANP-C, GNP-C
Contact information
Practice address
1107 MAHOGANY RUN DR, KATY, TX 77494-6166
(281) 693-1977
(281) 693-2667
Mailing address
1107 MAHOGANY RUN DR, KATY, TX 77494-6166
(281) 693-1977
(281) 693-2667
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
604569
TX
363LG0600X
Gerontology Nurse Practitioner
604569
TX
Other
Enumeration date
07/30/2006
Last updated
09/11/2025
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