Individual
MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8824 TUDOR PL, DALLAS, TX 75228-4133
(810) 516-4200
Mailing address
8824 TUDOR PL, DALLAS, TX 75228-4133
(810) 516-4200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP131636
TX
363LG0600X
Gerontology Nurse Practitioner
AP131636
TX
363LP2300X
Primary Care Nurse Practitioner
AP131636
TX
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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