MEDICARE: MS. JINAKI SHANI KIANGA JAMES NURSE PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LW0102X	Women's Health Nurse Practitioner	APN12003	TN
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	1452	TX

General Provider Information

NPI Number	:	1194895037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JINAKI SHANI KIANGA JAMES NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	7037 CAPITOL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4643
Country	:	US
Telephone Number	:	713-660-1880
Fax Number	:	713-893-6715

Provider Business Practice Location Address
First Line	:	7037 CAPITOL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4643
Country	:	US
Telephone Number	:	713-660-1880
Fax Number	:	713-893-6715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	05/17/2013

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