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 1:10527 HARVEST OAK CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3952
Mailing Address - Country:US
Mailing Address - Phone:832-212-4196
Mailing Address - Fax:
Practice Address - Street 1:10527 HARVEST OAK CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3952
Practice Address - Country:US
Practice Address - Phone:832-212-4196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-08-18
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