Individual
MRS. LEENA SUSAN JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7000
(469) 484-1431
Mailing address
7777 FOREST LN, DALLAS, TX 75230-2571
(972) 566-7000
(469) 484-1431
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP132786
TX
363LA2200X
Adult Health Nurse Practitioner
26NJ00460800
NJ
363LA2200X
Adult Health Nurse Practitioner
854452
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP132786
TX
Other
Enumeration date
02/10/2014
Last updated
11/07/2022
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