MEDICARE: JOANN NEGRON ARNP BC

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	722998	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902893530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANN NEGRON ARNP BC

Provider Business Mailing Address
First Line	:	19701 KINGWOOD DR
Second Line	:	BLDG 3
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3773
Country	:	US
Telephone Number	:	281-358-5701
Fax Number	:	281-358-7061

Provider Business Practice Location Address
First Line	:	19701 KINGWOOD DR
Second Line	:	BLDG 3
City	:	KINGWOOD
State	:	TX
Zip	:	77339-3773
Country	:	US
Telephone Number	:	281-358-5701
Fax Number	:	281-358-7061

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	02/04/2016

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