Individual provider · Type 1 NPI

Etoile Jessup, RN, GNP-C

Gerontology Nurse Practitioner · Houston, TX

NPI number 1790735413 Active

Practice location

8511 S Sam Houston Pkwy E, 101
Houston, TX 77075-4857

Fax (866) 546-1237

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X13332 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1790735413

Etoile Jessup, RN, GNP-C's National Provider Identifier is 1790735413, issued on May 11, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Houston, TX. The record was last updated on Dec 22, 2011.