Provider Demographics
NPI:1588810691
Name:KAISER, DEBRA JARVIS (RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JARVIS
Last Name:KAISER
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17203 1/2 HALL SHEPPERD RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-1049
Mailing Address - Country:US
Mailing Address - Phone:281-456-5201
Mailing Address - Fax:281-456-5208
Practice Address - Street 1:17203 1/2 HALL SHEPPERD RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77049-1049
Practice Address - Country:US
Practice Address - Phone:281-456-5201
Practice Address - Fax:281-456-5208
Is Sole Proprietor?:No
Enumeration Date:2008-08-09
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX465238363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily