Individual
MRS. JENNIFER MARIE MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP
Contact information
Practice address
6701 FANNIN ST, CCC 1720.11, HOUSTON, TX 77030-2316
(832) 822-3665
(832) 825-1707
Mailing address
6701 FANNIN ST, CCC 1720.11, HOUSTON, TX 77030-2316
(832) 822-3665
(832) 825-1707
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
696056
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11453724
PPO NEXT
TX
01
—
199878302
COMMUNITY HEALTH CHOICE
TX
05
—
199878302
—
TX
01
—
2619479
BEECH STREET
TX
01
—
3018341
UNITED HEALTH CARE
TX
01
—
8314543
CIGNA
TX
01
—
9310350
AETNA
TX
01
—
MA08Y9410
BLUE CROSS/BLUE SHIELD PROVIDER NUMBER
TX
Enumeration date
11/17/2008
Last updated
06/18/2009
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