Individual
JESSICA MARIE GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8329 LAWNDALE ST, HOUSTON, TX 77012-3707
(832) 548-5000
Mailing address
PO BOX 66308, HOUSTON, TX 77266-6308
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP126857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133453401
—
TX
Enumeration date
11/06/2014
Last updated
06/02/2016
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