JESSICA DVORAK


Address: 6701 Fannin St, Houston, TX 77030-2608
Phone: 8328241000

JESSICA DVORAK (NPI# 1477114239) 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) 1477114239
Entity Type Individual
Full Name JESSICA DVORAK
Credential CPNP-AC
Practice Address 6701 Fannin St
Houston
TX 77030-2608
Mailing Address 2450 Holcombe Blvd Ste Nb34l
Houston
TX 77021-2039
Practice Telephone 8328241000
Mailing Telephone 8328283660
Enumeration Date 2019-06-24
Last Update Date 2019-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care 		203477 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 6701 FANNIN ST
City HOUSTON
State TX
Zip Code 77030-2608

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194729897 Ellen M. Friedman Otolaryngology 6701 Fannin St, Ste 540, Houston, TX 77030-2316 2005-06-09
1659996882 Nohemi Garcia Counselor 6701 Fannin St, Houston, TX 77030-2608 2020-06-12
1801416326 Rachelle Gerke Nurse Anesthetist, Certified Registered 6701 Fannin St, Houston, TX 77030-2608 2020-04-24
1962039560 Carolina Coronel Bertero Social Worker 6701 Fannin St, Houston, TX 77030-2608 2020-03-24
1710511209 Fumiya Yoneyama Surgery 6701 Fannin St, Houston, TX 77030-2608 2020-02-24
1952934853 Erin Alycia Basile Nurse Practitioner 6701 Fannin St, Houston, TX 77030-2608 2020-02-19
1194358358 Ashley Lynn Brenner Nurse Practitioner 6701 Fannin St, Houston, TX 77030-2608 2020-02-17
1316587108 Megan Mckinney Williams Nurse Anesthetist, Certified Registered 6701 Fannin St, Houston, TX 77030-2608 2020-01-09
1205475985 Taylor Ann Matson Physician Assistant 6701 Fannin St, Houston, TX 77030-2608 2019-12-30
1972140259 Haley Aydam Lattal Nurse Practitioner 6701 Fannin St, Houston, TX 77030-2608 2019-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639770852 Mchaji Celestaine Pharmacist Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 2020-11-04
1730702598 Christopher A Mcmillian Student in an Organized Health Care Education/Training Program Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 2020-05-27
1245852698 Mostafa Hotait Student in an Organized Health Care Education/Training Program 7200 Cambridge Street 9a, Houston, TX 77030 2020-05-08
1790307288 Ayushi Jayesh Shah Student in an Organized Health Care Education/Training Program 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 2020-05-07
1932720836 Vera Whole Health Wa, PC Clinic/Center 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 2020-05-01
1548881808 Mobitz Heart and Rhythm Center Pllc Internal Medicine Scurlock Tower, 6560 Fannin St., Houston, TX 77030 2020-04-28
1710516513 Thomas Chi Han Lu Student in an Organized Health Care Education/Training Program 6431 Fannin Street, Msb 3.151, Houston, TX 77030 2020-04-03
1063041085 Kevin Tang Student in an Organized Health Care Education/Training Program 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 2020-04-02
1831728898 Taylor Renbarger Student in an Organized Health Care Education/Training Program 6431 Fannin St Suite Jjl 431, Houston, TX 77030 2020-04-02
1972131423 Sindhu R Rao Student in an Organized Health Care Education/Training Program 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 2020-03-31
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Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003996414 Patricia Oakland Nurse Practitioner 6621 Fannin St # Wt6-006, Houston, TX 77030-2303 2006-10-17
1922639574 Kelsey Mummert Nurse Practitioner 6621 Fannin St, Houston, TX 77030-2358 2020-02-03
1538701115 Matthew Allen Wisniewski Nurse Practitioner 6621 Fannin St, Houston, TX 77030-2358 2019-10-15
1932769072 Henry Chau Nurse Practitioner 6701 Fannin St, Houston, TX 77030-2608 2019-06-20
1427612712 Emily Tolson Nurse Practitioner 6701 Fannin St, Houston, TX 77030-2608 2019-04-23
1588121008 Kimberly Deese Nurse Practitioner 6701 Fannin St, Houston, TX 77030-2608 2019-02-21
1639641806 Mackenzie Nicole Zier Nurse Practitioner 6621 Fannin St, Houston, TX 77030-2399 2018-12-27
1700352770 Katherine M Taylor Nurse Practitioner 6701 Fannin St, Houston, TX 77030-2608 2018-10-17
1366928343 Donna Lisa Evans Nurse Practitioner 6701 Fannin St, Houston, TX 77030 2018-07-12
1164927240 Trella Rae Toomer Nurse Practitioner 6701 Fannin St, Houston, TX 77030-2608 2018-03-29
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Competitor

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City HOUSTON
Zip Code 77030

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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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