Provider Demographics
NPI:1598931636
Name:NP HEALTH CLINIC, PLLC
Entity Type:Organization
Organization Name:NP HEALTH CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GUILLORY
Authorized Official - Suffix:JR
Authorized Official - Credentials:APRN, BC
Authorized Official - Phone:409-755-7744
Mailing Address - Street 1:837 N MAIN ST SPC 118
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:TX
Mailing Address - Zip Code:77657-1018
Mailing Address - Country:US
Mailing Address - Phone:409-755-7744
Mailing Address - Fax:409-755-1924
Practice Address - Street 1:837 N MAIN ST SPC 118
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-1018
Practice Address - Country:US
Practice Address - Phone:409-755-7744
Practice Address - Fax:409-755-1924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX619053363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty