Individual
SHAWNA MARIE JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3936 GRIZZLY HILLS CIR, FORT WORTH, TX 76244-7482
(972) 567-7768
Mailing address
3936 GRIZZLY HILLS CIR, FORT WORTH, TX 76244-7482
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP129279
TX
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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