Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP131206 | TX |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP131206 | TX |
NPI | 1083167886 |
---|---|
Provider Name | Ms. Hope Essien |
First Address | Fulshear, TX 77441-1470 |
Second Address | Fulshear, TX 77441-1470 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2016 |
Last Update Date | 12/09/2016 |