Provider Demographics
NPI:1437511292
Name:BRISCOE, KRISTY ANN (MSN, RN, APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KRISTY
Middle Name:ANN
Last Name:BRISCOE
Suffix:
Gender:F
Credentials:MSN, RN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14410 STAGECOACH RD
Mailing Address - Street 2:
Mailing Address - City:STAGECOACH
Mailing Address - State:TX
Mailing Address - Zip Code:77355-8403
Mailing Address - Country:US
Mailing Address - Phone:713-516-2542
Mailing Address - Fax:
Practice Address - Street 1:1919 S BRAESWOOD BLVD
Practice Address - Street 2:SUITE 5330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4444
Practice Address - Country:US
Practice Address - Phone:832-824-1205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130291363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily