Healthcare Provider Details

I. General information

NPI: 1497230643
Provider Name (Legal Business Name): SAPPHIRE ELISSA NOEL-MCDONALD PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2018
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15635 PLUM BROOK DR
CONROE TX
77303-2077
US

IV. Provider business mailing address

15635 PLUM BROOK DR
CONROE TX
77303
US

V. Phone/Fax

Practice location:
  • Phone: 305-890-7455
  • Fax:
Mailing address:
  • Phone: 305-890-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1098693
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: