Individual
MRS. JENICE ANN HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6977 MAIN ST, HOUSTON, TX 77030-3701
(713) 793-3754
(713) 793-3762
Mailing address
6977 MAIN ST, HOUSTON, TX 77030-3701
(713) 793-3754
(713) 793-3762
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
603967
TX
Other
Enumeration date
12/31/2009
Last updated
03/04/2010
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