Individual
JENNIFER PITLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4208 ELLA BLVD, HOUSTON, TX 77018-4231
(832) 831-4660
Mailing address
1220 CHAMBOARD LN, HOUSTON, TX 77018-3102
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
796530
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1071639
TX
Other
Enumeration date
01/26/2022
Last updated
04/05/2022
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