Individual provider · Type 1 NPI
Broonin Kunjumon
Nurse Practitioner · Houston, TX
Practice location
4433 Ibiza Ln
Houston, TX 77045-1737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1004808 (TX) |
| Nurse Practitioner Primary | 363L00000X | 1004808 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1578495602
Broonin Kunjumon's National Provider Identifier is 1578495602, issued on Jun 2, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Houston, TX. The record was last updated on Jun 2, 2026.