JENNIFER EDEOGU (NPI# 1588213565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588213565 |
| Entity Type | Individual |
| Full Name | JENNIFER EDEOGU |
| Credential | NP-C |
| Practice Address |
690 S Loop 336 W Ste 200 Conroe TX 77304-3320 |
| Mailing Address |
8627 Hufsmith Rd Apt 1723 Tomball TX 77375-2874 |
| Practice Telephone | 9362025154 |
| Mailing Telephone | 8327858310 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP142114 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
690 S LOOP 336 W STE 200 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855547 | Stephen L Mckernan | Family Medicine | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2005-07-20 |
| 1396386827 | Angelique Lynn Cunningham | Nurse Practitioner | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2019-10-07 |
| 1942850565 | Sam Houston State University | Clinic/Center | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2019-09-16 |
| 1932677135 | Laura Kemp Montgomery | Registered Nurse | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2018-11-05 |
| 1619298247 | Townes R. Leigh Jr. | Family Medicine | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2010-06-17 |
| 1467555672 | Marianne Frances Moore | Advanced Practice Midwife | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235929 | Activate Family Health, Pllc | Nurse Practitioner | 203 E Davis St Ste F-1026, Conroe, TX 77301-3159 | 2020-11-07 |
| 1891339958 | Laura Overton | Nurse Practitioner | 4714 Fm 1488 Rd # Ate132, Conroe, TX 77384-4928 | 2019-11-01 |
| 1912558990 | Natalie Del Angel | Nurse Practitioner | 9803 Highway 242 Ste 300, Conroe, TX 77385-4369 | 2019-09-22 |
| 1427606763 | Trevor Martin Cobb | Nurse Practitioner | 3708 W Davis St # L, Conroe, TX 77304-1865 | 2019-08-29 |
| 1881256535 | Pragya Giri | Nurse Practitioner | 8139 Spreadwing St, Conroe, TX 77385-1115 | 2019-07-02 |
| 1568027613 | Sarah E Vickers | Nurse Practitioner | 2660 S Woodloch St, Conroe, TX 77385-8556 | 2019-05-03 |
| 1841758828 | Claudis Andrew Martin | Nurse Practitioner | 15197 Moonlight Trl, Conroe, TX 77384-3543 | 2019-03-07 |
| 1417414483 | Renee Martha Walker | Nurse Practitioner | 245 Fm 1488 Rd Apt 801, Conroe, TX 77384-3906 | 2019-02-26 |
| 1467919530 | Monica M Milford | Nurse Practitioner | 419 Oak Stream Dr, Conroe, TX 77304-5627 | 2019-02-25 |
| 1871057661 | Natasha Marie Berkowitz | Nurse Practitioner | 12250 Little Blue Heron Ln, Conroe, TX 77304-1688 | 2019-01-25 |
| Find all providers in CONROE | ||||
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| 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.