Jacqueline Mbuagbaw Fosah
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 LoopHouston, TX 77030
Phone: (712) 873-2000
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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 number | 1164032975 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2020 |
| Last updated in NPPES | August 6, 2020 |
| Certification date | August 6, 2020 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Eleanor Health Professional Tx, Pllc — 14 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
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