Provider Demographics
NPI:1649804550
Name:VANOVER, JESSICA SCHNEIDER (APRN)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:SCHNEIDER
Last Name:VANOVER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4800 SUGAR GROVE BLVD STE 603
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2627
Mailing Address - Country:US
Mailing Address - Phone:713-785-7828
Mailing Address - Fax:
Practice Address - Street 1:4950 FM 1960 RD W STE A6
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4517
Practice Address - Country:US
Practice Address - Phone:381-444-1711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-29
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142672363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner