Individual
JEREMY DAVID JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
3630 ASH GLEN DR, SPRING, TX 77388-4540
(928) 864-7024
Mailing address
3630 ASH GLEN DR, SPRING, TX 77388-4540
(928) 864-7024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1050151
TX
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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