Provider Demographics
NPI:1467802330
Name:MAGNY, JESSICA NAROMY (MSN, RN, AGPCNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:NAROMY
Last Name:MAGNY
Suffix:
Gender:F
Credentials:MSN, RN, AGPCNP-C
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:NAROMY
Other - Last Name:PHILOGENE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6550 FANNIN STREET
Mailing Address - Street 2:SMITH TOWER, SUITE 1901
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-441-1100
Mailing Address - Fax:713-790-8778
Practice Address - Street 1:6550 FANNIN STREET
Practice Address - Street 2:SMITH TOWER, SUITE 1901
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-441-1100
Practice Address - Fax:713-790-8778
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9310178163W00000X
TX843463163W00000X
TXAP130853363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX360524804Medicaid