Provider Demographics
NPI:1346592342
Name:LEGESSE, GOHNESH T (FNP)
Entity Type:Individual
Prefix:MS
First Name:GOHNESH
Middle Name:T
Last Name:LEGESSE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8533 GULF FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-5055
Mailing Address - Country:US
Mailing Address - Phone:713-669-9395
Mailing Address - Fax:713-941-9800
Practice Address - Street 1:8533 GULF FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-5055
Practice Address - Country:US
Practice Address - Phone:713-669-9395
Practice Address - Fax:713-941-9800
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX720463363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily