Provider Demographics
NPI:1821496159
Name:YOUNESSIAN, MARIA JOCELYN (BSN, RN, FNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:JOCELYN
Last Name:YOUNESSIAN
Suffix:
Gender:F
Credentials:BSN, RN, FNP
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:JOCELYN
Other - Last Name:QUINTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7701 WURZBACH RD APT 2303
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4434
Mailing Address - Country:US
Mailing Address - Phone:917-414-4018
Mailing Address - Fax:
Practice Address - Street 1:1139 E SONTERRA BLVD
Practice Address - Street 2:SUITE 405
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4352
Practice Address - Country:US
Practice Address - Phone:210-404-0000
Practice Address - Fax:210-404-2812
Is Sole Proprietor?:No
Enumeration Date:2014-12-18
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339048363LF0000X
TX1034027363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily