Individual
MS. JAMIE VAUGHN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 E BYRON NELSON BLVD STE C, ROANOKE, TX 76262-6183
(214) 326-5721
Mailing address
4213 ROUND VALLEY LANE, FORT WORTH, TX 76262
(214) 326-5721
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/14/2022
Last updated
03/15/2025
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