Healthcare Provider Details

I. General information

NPI: 1679058663
Provider Name (Legal Business Name): JOSEPHINE HONG MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOSEPHINE MULIA

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 09/15/2021
Certification Date: 09/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6907 N CAPITAL OF TEXAS HWY STE 240
AUSTIN TX
78731-1710
US

IV. Provider business mailing address

6907 N CAPITAL OF TEXAS HWY STE 240
AUSTIN TX
78731-1710
US

V. Phone/Fax

Practice location:
  • Phone: 512-362-6789
  • Fax:
Mailing address:
  • Phone: 512-362-6789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP138876
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: