Individual
JEMILAT MOMOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
401 CONGRESS AVE STE 1540, AUSTIN, TX 78701-3851
(512) 937-9168
Mailing address
901 HIDDEN VALLEY DR APT 3105, ROUND ROCK, TX 78665-1460
(512) 351-0142
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
AP135099
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
AP135099
TX
Other
Enumeration date
10/02/2017
Last updated
02/03/2026
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