| Doctor Name: | JENNY KHAN |
| NPI Number: | 1063833754 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | 731144 |
| Business Practice Address: | 1400 S Loop 336 W Conroe, TX - 773043317 |
| Business Phone Number: | 9365235150 |
| Business Fax Number: | |
| Mailing Address: | Po Box 680608, HOUSTON |
| State: | TX |
| Postal Code: | 772680608 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/23/2013 |
| NPI Last Update Date: | 12/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | 731144 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |