Provider Demographics
NPI:1023822913
Name:HONEYCUTT, GENEVA ELAINE (RN, NC-BC)
Entity type:Individual
Prefix:
First Name:GENEVA
Middle Name:ELAINE
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:RN, NC-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 204
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:75840-0004
Mailing Address - Country:US
Mailing Address - Phone:903-284-5339
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 204
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:TX
Practice Address - Zip Code:75840-0004
Practice Address - Country:US
Practice Address - Phone:903-284-5339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX812781163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse