Provider Demographics
NPI:1871363978
Name:PUSTEJOVSKY, NNEOMA MAY (PMHNP)
Entity type:Individual
Prefix:
First Name:NNEOMA
Middle Name:MAY
Last Name:PUSTEJOVSKY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23410 GRAND RESERVE DR STE 802
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4983
Mailing Address - Country:US
Mailing Address - Phone:281-724-7980
Mailing Address - Fax:
Practice Address - Street 1:23410 GRAND RESERVE DR STE 802
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-4983
Practice Address - Country:US
Practice Address - Phone:281-724-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2025-09-18
Deactivation Date:2024-07-27
Deactivation Code:
Reactivation Date:2024-08-15
Provider Licenses
StateLicense IDTaxonomies
TX1166902363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty