Individual
CAROLYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1910 ROSELAND BLVD, TYLER, TX 75701-4246
(903) 533-0644
Mailing address
1910 ROSELAND BLVD, TYLER, TX 75701-4246
(903) 533-0644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP140535
TX
Other
Enumeration date
02/08/2019
Last updated
11/08/2024
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