Individual
JILL RESENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16030 CAPISTRANO FALLS DR, FRIENDSWOOD, TX 77546-2442
(832) 526-7367
Mailing address
PO BOX 650859 DEPT 710, DALLAS, TX 75265-1910
(409) 772-3620
(409) 772-1084
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2020038365
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
1008458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2020038365
—
TX
Enumeration date
07/13/2020
Last updated
09/27/2021
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