Individual
JAMIE MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
700 MEDICAL PKWY, BRENHAM, TX 77833-5413
(979) 337-5000
(979) 830-2244
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1002051
TX
Other
Enumeration date
07/07/2020
Last updated
04/20/2021
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