Individual
JOHN A HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1802 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 288-2488
(502) 935-9577
Mailing address
2100 MARKET ST STE 100, CHARLESTOWN, IN 47111-9535
(812) 503-5100
(502) 489-5733
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
3599P
KY
363L00000X
Nurse Practitioner
3599P
KY
363LF0000X
Family Nurse Practitioner
Primary
71010470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1097323
REGISTERED NURSE LICENSE
KY
01
—
3599P
NURSE PRACTIONER LICENSE
KY
Enumeration date
01/10/2007
Last updated
05/15/2023
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