Individual
JEANA KAY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
323 E HAWKINS PKWY, LONGVIEW, TX 75605-8153
(903) 315-4450
Mailing address
323 E HAWKINS PKWY, LONGVIEW, TX 75605-8153
(903) 315-4450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1055857
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1055857
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1055857
TEXAS BOARD OF NURSING
TX
Enumeration date
09/29/2021
Last updated
10/05/2023
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