Individual
JOY IKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AGACNP-BC
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(832) 664-1760
Mailing address
6411 FANNIN ST, HOUSTON, TX 77030-1501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
939069
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1112542
TX
Other
Enumeration date
06/04/2018
Last updated
05/20/2023
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