Individual
DEANDRA RACHEL JOHNSON-EGESI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19126 MOSSY HEDGE LN, KATY, TX 77449-4133
(832) 408-0556
Mailing address
19126 MOSSY HEDGE LN, KATY, TX 77449-4133
(832) 408-0556
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
971600
TX
163WC0400X
Case Management Registered Nurse
971600
TX
163WC1600X
Continuing Education/Staff Development Registered Nurse
971600
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
971600
TX
Other
Enumeration date
06/25/2024
Last updated
09/30/2025
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