JESSICA RENAUDO


Address: 15015 Coral Sands Dr, Houston, TX 77062-2918
Phone: 2817573155

JESSICA RENAUDO (NPI# 1427515444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427515444
Entity Type Individual
Full Name JESSICA RENAUDO
Practice Address 15015 Coral Sands Dr
Houston
TX 77062-2918
Practice Telephone 2817573155
Mailing Telephone 2817573155
Enumeration Date 2019-02-26
Last Update Date 2019-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
AP140585 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX APRN AP140585 01

Office Location

Street Address 15015 CORAL SANDS DR
City HOUSTON
State TX
Zip Code 77062-2918

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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1881060093 Cyprine Manduku Nurse Practitioner 8723 Auburn Glen Ln, Houston, TX 77095-4699 2015-08-12
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Competitor

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City HOUSTON
Zip Code 77062

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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