MEDICARE: MRS. ALEXIS JOLIVET-CHAMBERS NP

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	363L00000X	Nurse Practitioner	275470	AZ
2	363L00000X	Nurse Practitioner	1014356	TX

General Provider Information

NPI Number	:	1497361653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXIS JOLIVET-CHAMBERS NP

Provider Business Mailing Address
First Line	:	2045 SPACE PARK DR STE 235
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-6311
Country	:	US
Telephone Number	:	832-225-2709
Fax Number	:	833-464-1741

Provider Business Practice Location Address
First Line	:	2045 SPACE PARK DR STE 235
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-6311
Country	:	US
Telephone Number	:	832-225-2709
Fax Number	:	833-464-1741

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

Provider Enumeration Date	:	09/22/2020
Last Update Date	:	01/15/2026

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