Jeannie Jimmerson Folling
Individual provider Active NPI Contractor · Houston, TX
NPI 1487047437 · NPPES record last updated Jul 8, 2015
Key facts
- NPI
- 1487047437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 13050 Champions Park Dr
807
Houston, TX 77069-3261 - Phone
- (713) 715-9483
- NPI assigned
- Mar 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
13050 Champions Park Dr
807
Houston, TX 77069-3261
Mailing address
2423 Peterborough Way
Houston, TX 77073
Phone (713) 715-9483
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.