Provider Demographics
NPI:1568028652
Name:YONGQUE, JASMINE FAY (RN, CV-BC, AGPNP-C)
Entity type:Individual
Prefix:
First Name:JASMINE FAY
Middle Name:
Last Name:YONGQUE
Suffix:
Gender:F
Credentials:RN, CV-BC, AGPNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9330 MAIN ST APT 222
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-4563
Mailing Address - Country:US
Mailing Address - Phone:832-420-9022
Mailing Address - Fax:
Practice Address - Street 1:290 W. MEDICAL CENTER BLVD #1
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598
Practice Address - Country:US
Practice Address - Phone:281-956-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX965754163W00000X
TX1180302363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse