Etoile Jessup, RN,GNP-C

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

13332 Issued in TX

Practice address

8511 S Sam Houston Pkwy E
101
Houston, TX 77075-4857

Phone

(713) 343-2300

Fax

(866) 546-1237

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Geriatric Associates of America-Texas, PLLC

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1669682886

  Gerontology

  NPD (past)
• Olivia a Valdez, M.D., P.a.

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1356550313
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1790735413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 S SAM HOUSTON PKWY E",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754857",
            "telephone_number": "713-343-2300",
            "fax_number": "866-546-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 S SAM HOUSTON PKWY E",
            "address_2": "101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770754857",
            "telephone_number": "713-343-2300",
            "fax_number": "866-546-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP",
        "first_name": "ETOILE",
        "credential": "RN,GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "13332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142143002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Anthony Jessee, DDS
• Jessica Henderson & Associates Counseling
• Amira Cortney Jessie
• Xuan Duong Jesson, PHD
• Aaron Craig Jessop, MD
• Carlos Ruben Jessurun, M.D.
• Alexandra Jester, MS, CCC-SLP, CBIS
• Deloris Jester, SLP
• Jesus E. Gonzalez Chiropractic Clinic, Inc.
• Jesus Vision LLC

• Gerontology Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.