Provider Demographics
NPI:1710526439
Name:JOJO, PAULINE (DNP)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:
Last Name:JOJO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 WHITEWING AVE
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3452
Mailing Address - Country:US
Mailing Address - Phone:956-789-5513
Mailing Address - Fax:
Practice Address - Street 1:330 N OHIO AVE
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-2728
Practice Address - Country:US
Practice Address - Phone:956-565-1561
Practice Address - Fax:956-565-5373
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-27
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP143738363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty