Individual provider · Type 1 NPI
Jaqueline Theresa Richard, APRN, AGPCNP-BC
Adult Health Nurse Practitioner · Katy, TX
NPI number
1386342772
Active
Practice location
1331 W Grand Pkwy N Ste 230
Katy, TX 77493-2711
Mailing address
24431 Goodwin Dr
Katy, TX 77493-3523
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 1110933 (TX) |
| Primary Care Nurse Practitioner | 363LP2300X | 1110933 (TX) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 1110933 (TX) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1386342772
Jaqueline Theresa Richard, APRN, AGPCNP-BC's National Provider Identifier is 1386342772, issued on Feb 16, 2023. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Katy, TX. The record was last updated on Feb 16, 2023.