Individual
JORDAN NOEL WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
11970 WILCREST DR STE 101, HOUSTON, TX 77031-1923
(281) 933-8017
Mailing address
11970 WILCREST DR STE 101, HOUSTON, TX 77031-1923
(281) 933-8017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
850876
TX
363L00000X
Nurse Practitioner
AP144629
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP144629
TX
Other
Enumeration date
02/22/2018
Last updated
09/25/2024
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