Provider Demographics
NPI:1902893530
Name:NEGRON, JOANN (ARNP BC)
Entity type:Individual
Prefix:
First Name:JOANN
Middle Name:
Last Name:NEGRON
Suffix:
Gender:F
Credentials:ARNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19701 KINGWOOD DR
Mailing Address - Street 2:BLDG 3
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-3773
Mailing Address - Country:US
Mailing Address - Phone:281-358-5701
Mailing Address - Fax:281-358-7061
Practice Address - Street 1:19701 KINGWOOD DR
Practice Address - Street 2:BLDG 3
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-3773
Practice Address - Country:US
Practice Address - Phone:281-358-5701
Practice Address - Fax:281-358-7061
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2016-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX722998363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1821035-01Medicaid
TX8G8318Medicare UPIN
Q42752Medicare UPIN