Provider Demographics
NPI:1255188041
Name:NEMETH, JADE NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:JADE
Middle Name:NICOLE
Last Name:NEMETH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11003 RESOURCE PKWY STE 102
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6142
Mailing Address - Country:US
Mailing Address - Phone:281-481-8557
Mailing Address - Fax:281-481-8540
Practice Address - Street 1:11003 RESOURCE PKWY STE 102
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6142
Practice Address - Country:US
Practice Address - Phone:281-481-8557
Practice Address - Fax:281-481-8540
Is Sole Proprietor?:No
Enumeration Date:2024-05-01
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXPA17923363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical