Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline Mbuagbaw Fosah

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164032975

Jacqueline Mbuagbaw Fosah is a Nurse Practitioner in Houston, Texas. Qualified in 2020, 6 years ago. Practices with Eleanor Health Professional Tx, PLLC, a 14-clinician group and offers telehealth. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020

Practice location Address checks out

1504 Ben Taub Loop
Houston, TX 77030
Phone: (712) 873-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP145962 (TX)

Record details

NPI number1164032975
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 6, 2020
Last updated in NPPESAugust 6, 2020
Certification dateAugust 6, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Eleanor Health Professional Tx, Pllc — 14 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Houston