Individual
JESSICA FONTENOT MOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2515 BUSINESS CENTER DR, PEARLAND, TX 77584-2294
(713) 442-7200
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-5633
(713) 442-2756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
733127
TX
363L00000X
Nurse Practitioner
Primary
1018481
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
419480501
—
TX
Enumeration date
11/17/2020
Last updated
06/11/2021
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