Individual
JADE MICHELE MAKARENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3200 SOUTHWEST FWY STE 2100, HOUSTON, TX 77027-7525
(833) 208-7770
(833) 464-3584
Mailing address
220 ATHENS WAY STE 240, NASHVILLE, TN 37228-1311
(832) 828-3600
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
739918
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
739918
TX
363LP0200X
Pediatric Nurse Practitioner
APRN11028321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120437300
—
FL
05
—
1790075422
—
TX
Enumeration date
04/14/2011
Last updated
11/21/2024
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