Individual
MERINA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10018 BROADMOOR LN, ROWLETT, TX 75089-8379
(972) 322-0457
Mailing address
10018 BROADMOOR LN, ROWLETT, TX 75089-8379
(972) 322-0457
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP112579
TX
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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