Individual
SHIJIN JUSTUS FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
126 W SAN AUGUSTINE ST, DEER PARK, TX 77536-4024
(281) 884-8100
Mailing address
6339 BAIN DR, MISSOURI CITY, TX 77459-2037
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1165085
TX
Other
Enumeration date
05/31/2024
Last updated
07/04/2024
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