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Individual
SHAKIRA A. JOHNSON
Active
Individual
SHAKIRA A. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03607
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179551001
—
TX
05
—
179551002
—
TX
05
—
179551003
—
TX
01
—
8N7735
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/27/2005
Last updated
03/15/2023
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