Healthcare Provider Details

I. General information

NPI: 1194219824
Provider Name (Legal Business Name): JODEE NAPLES APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E HOSPITAL ST
SAN AUGUSTINE TX
75972-2123
US

IV. Provider business mailing address

157 WALL ST
TENAHA TX
75974-5413
US

V. Phone/Fax

Practice location:
  • Phone: 936-275-4420
  • Fax:
Mailing address:
  • Phone: 936-248-4673
  • Fax: 936-248-4646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP137751
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: