Individual
KIZZIE JIMMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, RCMA
Contact information
Practice address
838 GREENS RD, HOUSTON, TX 77060-1417
(128) 157-0844
Mailing address
838 GREENS RD, HOUSTON, TX 77060-1417
(281) 570-8444
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA835949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-4358303
—
TX
Enumeration date
02/09/2018
Last updated
02/09/2018
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