Individual
MELODY LEANNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
235 WELLESLEY ST, WESTON, MA 02493-1572
(781) 768-7000
Mailing address
235 WELLESLEY ST, WESTON, MA 02493-1572
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
813527
TX
363LW0102X
Women's Health Nurse Practitioner
Primary
1100049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1100049
TEXAS BOARD OF NURSING
TX
01
—
813527
TEXAS BOARD OF NURSING
TX
Enumeration date
11/05/2021
Last updated
12/30/2022
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