Most Relevant Information
Provider Data
| NPI Number: | 1003599374 |
| Provider Name: | JENNIFER THANKACHAN APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 1130718 |
Most Important Dates
| Enumeration Date: | 08/11/2023 |
| Last Updated: | 10/26/2023 |
Provider Practice Location
1515 HOLCOMBE BLVD
HOUSTON
TX
770304000
Practice Location Phone/Fax
| Phone: | 7137926161 |
| Fax: |
Provider Mailing Location
PO BOX 4439
HOUSTON
TX
772104439
Provider Mailing Phone/Fax
| Phone: | 7137922991 |
| Fax: |