Provider Demographics
NPI:1023216793
Name:CHRISTENSEN, JEANETTE G (DO)
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:G
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JEANETTE
Other - Middle Name:B
Other - Last Name:VALDIVIESO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5409 FEAGAN ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-7165
Mailing Address - Country:US
Mailing Address - Phone:713-376-9670
Mailing Address - Fax:
Practice Address - Street 1:540 HEIGHTS BLVD STE 213
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-2552
Practice Address - Country:US
Practice Address - Phone:713-376-9670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-04
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM77172084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry