Provider Demographics
NPI:1184903239
Name:LUKE, JODY (RN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JODY
Middle Name:
Last Name:LUKE
Suffix:
Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:4775 W PANTHER CREEK DR
Mailing Address - Street 2:SUITE 345
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3592
Mailing Address - Country:US
Mailing Address - Phone:281-292-1192
Mailing Address - Fax:281-367-0396
Practice Address - Street 1:8000 RESEARCH FOREST DR
Practice Address - Street 2:SUITE 360
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77382-1504
Practice Address - Country:US
Practice Address - Phone:281-292-1191
Practice Address - Fax:281-362-9170
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX011459363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily