Individual
NIKKI SHANNON JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
635 STONE AVE, PARIS, TX 75460-9342
(903) 785-3300
(903) 785-3310
Mailing address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
80235
OK
363L00000X
Nurse Practitioner
Primary
AP133984
TX
363LF0000X
Family Nurse Practitioner
AP133984
TX
Other
Enumeration date
04/28/2017
Last updated
05/04/2023
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