Jessup, Etoile

Jessup, Etoile is an individual health care provider with primary practice located at 8511 S Sam Houston Pkwy E 101, Houston TX 77075-4857. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Jessup, Etoile can be contacted via phone (713) 343-2300.

Contact Information

Primary practice address
8511 S Sam Houston Pkwy E 101 Houston TX 77075-4857
Phone: (713) 343-2300
Fax: (866) 546-1237
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 13332 Texas

Profile Details

NPI number 1790735413
LBN Legal business name Jessup, Etoile
Credentials RN,GNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Dec 22nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790735413 NPPES
Texas MEDICAID 142143002

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