Healthcare Provider Details

I. General information

NPI: 1578962809
Provider Name (Legal Business Name): HAMPTON HEALTHCARE AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2014
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

507 N SAM HOUSTON PKWY E STE 578
HOUSTON TX
77060-4021
US

IV. Provider business mailing address

8524 HIGHWAY 6 N # 148
HOUSTON TX
77095-2103
US

V. Phone/Fax

Practice location:
  • Phone: 832-384-5885
  • Fax: 281-709-6181
Mailing address:
  • Phone: 832-384-5885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number755306
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License Number755306
License Number StateTX

VIII. Authorized Official

Name: DR. JENISE HAMPTON
Title or Position: FAMILY NURSE PRACTITIONER/ OWNER
Credential: APRN, FNP-C
Phone: 832-384-5885