Individual
SHANTELE M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3422 MERIDIANA PARKWAY, 300, ROSHARON, TX 77583
(832) 736-1343
Mailing address
9907 BEZELED CIRCLE LN, ROSHARON, TX 77583-1057
(832) 754-9731
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A01240029
TX
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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