JENNEN LEE HEATHMAN RN, NP-C
NPI 1174894828
Nurse Practitioner - Adult Health in Katy, TX
Active since January 25, 2012
21703 KINGSLAND BLVD STE 101, KATY, TX 77450(281) 944-9442(832) 321-3012 Get Directions Write a Review
About Jennen Lee Heathman Rn, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNEN LEE HEATHMAN RN, NP-C (NPI 1174894828) is an individual adult health provider in Katy, Texas, licensed in Texas (646173) and active in the NPI registry since January 2012.
NPPES Registry Identity
NPI1174894828
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNEN LEE HEATHMANCredential: RN, NP-C
Location Address21703 KINGSLAND BLVD STE 101Katy, TX 77450-2521
Mailing Address21703 Kingsland Blvd Ste 101Katy, TX 77450-2521 · (281) 944-9442 · Fax (832) 321-3012
Phone(281) 944-9442
Fax(832) 321-3012
Sole ProprietorNo
Enumeration DateJanuary 25, 2012
Last NPPES UpdateJanuary 22, 2017
✔ NPI 1174894828 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TX · 646173
21703 KINGSLAND BLVD STE 101, Katy, TX 77450
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174894828, enumerated as an "individual" on January 25, 2012.
The provider is located at 21703 KINGSLAND BLVD STE 101 KATY, TX 77450 and the phone number is (281) 944-9442.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
