Individual
TIFFANY L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
4102 WOODLAWN AVE, SUITE 110, PASADENA, TX 77504-1947
(713) 946-6081
Mailing address
4102 WOODLAWN AVE, SUITE 110, PASADENA, TX 77504
(713) 946-6081
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
676193
TX
Other
Enumeration date
09/26/2008
Last updated
09/26/2008
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