Individual
ASHLEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
200 SYDNEY, THORNDALE, TX 76577-5432
(707) 837-6641
Mailing address
4105 BENNEDICT LN, AUSTIN, TX 78746-1920
(707) 837-6641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
32916
TX
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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