Provider Demographics
NPI:1275880890
Name:HAMPTON, JENISE (APRN, FNP-C, DNP)
Entity Type:Individual
Prefix:DR
First Name:JENISE
Middle Name:
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:APRN, FNP-C, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16951 BOULDGREEN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1262
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:440 BENMAR DR STE 1150
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3257
Practice Address - Country:US
Practice Address - Phone:832-384-5885
Practice Address - Fax:281-709-6181
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-14
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX755306363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily