Individual provider · Type 1 NPI
Jisha Geoffrey Thekkumthara, NP
Gerontology Nurse Practitioner · Houston, TX
NPI number
1023522653
Active
Practice location
1515 Holcombe Blvd
Houston, TX 77030-4000
Mailing address
PO Box 4439
Houston, TX 77210-4439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP134651 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1023522653
Jisha Geoffrey Thekkumthara, NP's National Provider Identifier is 1023522653, issued on Nov 17, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Aug 8, 2022.