Individual
GWENDOLYN R DEJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
2800 S MACGREGOR WAY, HOUSTON, TX 77021-1032
(713) 500-8800
(713) 741-5049
Mailing address
2800 S MACGREGOR WAY, HOUSTON, TX 77021-1032
(713) 500-8800
(713) 741-5049
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
600763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158232201
—
TX
Enumeration date
11/23/2005
Last updated
08/27/2007
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