Individual
MRS. JEANNETTA JOHNSON-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN., RN
Contact information
Practice address
10880 EDGEMERE BLVD, EL PASO, TX 79935-1306
(915) 590-7800
Mailing address
5021 CEDAR SANDS LN, EL PASO, TX 79924-1138
(915) 821-6783
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
644766
TX
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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