Individual
ANGELA CAMILLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 PARKVIEW DR STE 560, FORT WORTH, TX 76102-5825
(817) 783-4395
Mailing address
2501 PARKVIEW DR STE 560, FORT WORTH, TX 76102-5825
(817) 783-4395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
683636
TX
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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