Jelsa Antu, APRN-FNPC
Nurse Practitioner, Family in Stafford, TX. Individual provider (NPI-1).
NPI number1669128500
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1669128500
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jelsa Antu
- Credential
- APRN-FNPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1072593 | TX | Yes |
Other names
- Jelsa Menachery Antu (Other Name)
Practice location
Right Step Medical Center11925 Southwest Fwy Suite #12
Stafford, TX 77477
Phone 281-741-9145 · Fax 713-461-3518
Mailing address
7323 RavenswoodMissouri City, TX 77459
Phone 832-704-8317
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