Individual
ALICE ZITA KEBEUMEN JAMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
102 PLEASANT ST STE 2, CONCORD, NH 03301-3863
(832) 867-2447
Mailing address
10511 BURNISHED BAY LN, RICHMOND, TX 77406-2972
(832) 867-2447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
092520-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
23247568
TX
Other
Enumeration date
10/26/2022
Last updated
01/25/2024
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