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Individual

MS. JERRI LYNN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-C

Contact information

Practice address
1000 CRAIG DR, AMARILLO, TX 79106-4015
(806) 351-7070
(806) 351-7079
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(806) 351-7070
(806) 351-7079

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP104041
TX
363LF0000X
Family Nurse Practitioner
541369
TX
363LP0200X
Pediatric Nurse Practitioner
541369
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
167564701
TX
Enumeration date
07/20/2005
Last updated
09/25/2017
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