Individual
MS. JESSICA RENEE MARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6720 BERTNER AVE, HOUSTON, TX 77030-2604
(823) 355-2666
Mailing address
1617 FANNIN ST, APT 2617, HOUSTON, TX 77002-7647
(713) 315-1753
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
742454
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
742454
TX
390200000X
Student in an Organized Health Care Education/Training Program
742454
TX
Other
Enumeration date
08/11/2010
Last updated
04/16/2024
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