Individual
SALLY PATRICIA JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNC/WHNP
Contact information
Practice address
100F W DEAN KEATON ST, UNIVERSITY HEALTH SERVICES, AUSTIN, TX 78712-1006
(512) 475-8216
Mailing address
11909 ALOE VERA TRL, AUSTIN, TX 78750-1386
(512) 258-7539
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
433504
TX
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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