Provider Demographics
NPI:1528945144
Name:DEAN, JENNIFER LOIS
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LOIS
Last Name:DEAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 HORNCASTLE ST
Mailing Address - Street 2:
Mailing Address - City:CHANNELVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:77530-3410
Mailing Address - Country:US
Mailing Address - Phone:346-673-3166
Mailing Address - Fax:
Practice Address - Street 1:14544 HILLSBORO ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4742
Practice Address - Country:US
Practice Address - Phone:346-673-3166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty