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NPI Code Detail

MEDICARE: JOVIAN EZEANI FNP-C

MEDICARE: JOVIAN EZEANI FNP-C
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
1363LF0000XFamily Nurse PractitionerAP138416TX
2363LF0000XFamily Nurse Practitioner0041173OH
3363LF0000XFamily Nurse PractitionerAPRN11042132FL

General Provider Information

NPI Number : 1215416920
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOVIAN EZEANI FNP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 4700 W SAM HOUSTON PKWY N STE 220
Second Line :
City : HOUSTON
State : TX
Zip : 77041-8224
Country : US
Telephone Number : 713-402-7824
Fax Number : 713-570-0196
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2018
Last Update Date : 01/09/2026

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Directions to “ JOVIAN EZEANI FNP-C” Practice Location

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