Individual
ALEYAMMA J JACOBHOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
3531 TOWN CENTER BLVD S, SUITE 101, SUGAR LAND, TX 77479-2590
(281) 491-3225
(281) 491-1702
Mailing address
3531 TOWN CENTER BLVD S, SUITE 101, SUGAR LAND, TX 77479-2590
(281) 491-3225
(281) 491-1702
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
586005
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
586005
LICENSE NUMBER
TX
Enumeration date
04/30/2012
Last updated
04/30/2012
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