Provider Demographics
NPI:1447774708
Name:GET WELL HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:GET WELL HEALTHCARE SERVICES
Other - Org Name:GET WELL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:JOUVONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:281-812-3736
Mailing Address - Street 1:19020 W LAKE HOUSTON PKWY
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-5131
Mailing Address - Country:US
Mailing Address - Phone:281-812-3736
Mailing Address - Fax:844-781-2056
Practice Address - Street 1:19020 W LAKE HOUSTON PKWY
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-5131
Practice Address - Country:US
Practice Address - Phone:281-812-3736
Practice Address - Fax:844-781-2056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty