Individual
NICOLLETTE-NAKERRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 JOHN HAEDGE DR, KILLEEN, TX 76549-5479
(843) 758-4393
Mailing address
3509 JOHN HAEDGE DR, KILLEEN, TX 76549-5479
(843) 758-4393
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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