Individual
BRANDY NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3051 W CROCKETT ST, BEAUMONT, TX 77701-3917
(409) 259-9323
Mailing address
3051 W CROCKETT ST, BEAUMONT, TX 77701-3917
(409) 259-9323
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
TX
372600000X
Adult Companion
—
TX
373H00000X
Day Training/Habilitation Specialist
—
TX
3747A0650X
Attendant Care Provider
—
TX
3747P1801X
Personal Care Attendant
—
TX
3747P1801X
Personal Care Attendant
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
TX
374U00000X
Home Health Aide
Primary
—
TX
376K00000X
Nurse's Aide
—
TX
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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