# TIARA JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1417796483
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 945325 | TX | — |
| 163WC0400X | Case Management Registered Nurse | 945325 | TX | — |
| 163WW0101X | Ambulatory Women's Health Care Registered Nurse | 945325 | TX | — |
| 171M00000X | Case Manager/Care Coordinator | 945325 | TX | Yes |

## Other

- **Enumeration date:** 05/21/2024
- **Last updated:** 10/10/2024