Individual
ANNIE JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-C
Contact information
Practice address
2121 ESCONDIDO, PORTLAND, TX 78374-2400
(361) 523-9344
Mailing address
SANDCASTLE PEDIATRICS, 2106 W.MARKET ST, ROCKPORT, TX 78382
(361) 523-9344
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1158958
TX
Other
Enumeration date
05/09/2024
Last updated
10/22/2024
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