Individual
MRS. CHRISTINE DONNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP BC
Contact information
Practice address
3551 ROGER BROOKE DR, DEPARTMENT OF PEDIATRICS/ADOLESCENT MEDICINE, FORT SAM HOUSTON, TX 78234-4504
(210) 916-3160
(210) 808-2345
Mailing address
3100 SCHOFIELD RD, BLDG 1179, FORT SAM HOUSTON, TX 78234-7577
(210) 916-3160
(210) 808-2345
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R123606
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R123606
NURSING LICENSE
MD
Enumeration date
08/21/2008
Last updated
09/12/2011
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