Individual
ANNY JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
900991
TX
207Q00000X
Family Medicine Physician
1005545
TX
363LF0000X
Family Nurse Practitioner
Primary
1005545
TX
Other
Enumeration date
09/13/2019
Last updated
01/26/2022
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