Provider Demographics
NPI:1629342514
Name:GEORGES, JEAN ANNE (MSN, RN, ANP)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:ANNE
Last Name:GEORGES
Suffix:
Gender:F
Credentials:MSN, RN, ANP
Other - Prefix:
Other - First Name:JEAN
Other - Middle Name:
Other - Last Name:CRENSHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 N BELLE DR
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-3368
Mailing Address - Country:US
Mailing Address - Phone:972-881-4688
Mailing Address - Fax:
Practice Address - Street 1:200 W 2ND ST FL 3
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:TX
Practice Address - Zip Code:77541-5773
Practice Address - Country:US
Practice Address - Phone:979-705-0137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX679260363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX9454882OtherAETNA
TX872N99OtherBCBS
TXTXB102731OtherGROUP PTAN