Individual provider · Type 1 NPI
Jaya Sanjo, NP
Gerontology Nurse Practitioner · Houston, TX
NPI number
1629574967
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 | AP136907 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1629574967
Jaya Sanjo, NP's National Provider Identifier is 1629574967, issued on Apr 4, 2018. 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 14, 2020.