Provider Demographics
NPI:1558060715
Name:EDWARDS, JEFFREY TRENT (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:TRENT
Last Name:EDWARDS
Suffix:
Gender:M
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:713-442-4735
Practice Address - Street 1:1200 MCKINNEY ST STE 473
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77010-2004
Practice Address - Country:US
Practice Address - Phone:713-442-4700
Practice Address - Fax:713-442-4735
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX967363163W00000X
TX315375164X00000X
TX1111769363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No164X00000XNursing Service ProvidersLicensed Vocational Nurse