Individual
JONIKA MARTIN MAXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(281) 900-9078
Mailing address
16514 PROVENCE LN, HOUSTON, TX 77095-4982
(281) 900-9078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP137142
TX
363LP2300X
Primary Care Nurse Practitioner
AP137142
TX
Other
Enumeration date
04/13/2018
Last updated
09/16/2020
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