Healthcare Provider Details

I. General information

NPI: 1275880890
Provider Name (Legal Business Name): JENISE HAMPTON APRN, FNP-C, DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2012
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 BENMAR DR STE 1150
HOUSTON TX
77060-3257
US

IV. Provider business mailing address

16951 BOULDGREEN
HOUSTON TX
77084-1262
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number755306
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: