MEDICARE: MRS. JOANN MARIE ST. PIERRE APRN

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	AP133885	TX

General Provider Information

NPI Number	:	1922173053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JOANN MARIE ST. PIERRE APRN

Provider Business Mailing Address
First Line	:	13300 HARGRAVE RD STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4374
Country	:	US
Telephone Number	:	817-371-1672
Fax Number	:

Provider Business Practice Location Address
First Line	:	13300 HARGRAVE RD STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4374
Country	:	US
Telephone Number	:	281-737-1167
Fax Number	:	281-469-1460

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	01/18/2023

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