Individual
OMOTOLA IYABO JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP BC
Contact information
Practice address
2420 FANNIN ST, HOUSTON, TX 77002-9114
(832) 831-3651
(832) 831-3652
Mailing address
2420 FANNIN ST, HOUSTON, TX 77002-9114
(832) 831-3651
(832) 831-3652
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1032755
TX
Other
Enumeration date
03/25/2021
Last updated
03/21/2025
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