Organization · Type 2 NPI
Just Divine Mediclinic & Medispa ,llc
Primary Care Nurse Practitioner · Humble, TX
NPI number
1922754779
Active
Practice location
21650 Aldine Westfield Rd
Humble, TX 77338-1092
Fax (659) 234-3758
Mailing address
PO Box 60023
Houston, TX 77205-0023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
Other primary care nurse practitioner providers in Humble
About NPI 1922754779
Just Divine Mediclinic & Medispa ,llc's National Provider Identifier is 1922754779, issued on Mar 1, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Humble, TX. The record was last updated on Mar 1, 2022.