Provider Demographics
NPI:1679058663
Name:HONG, JOSEPHINE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:HONG
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:JOSEPHINE
Other - Middle Name:
Other - Last Name:MULIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6907 N CAPITAL OF TEXAS HWY STE 240
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1710
Mailing Address - Country:US
Mailing Address - Phone:512-362-6789
Mailing Address - Fax:
Practice Address - Street 1:6907 N CAPITAL OF TEXAS HWY STE 240
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1710
Practice Address - Country:US
Practice Address - Phone:512-362-6789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138876363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily