Individual
LESLIE JOHANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2021 N MACARTHUR BLVD, 150, IRVING, TX 75061-2219
(972) 253-4208
Mailing address
2021 N MACARTHUR BLVD, 150, IRVING, TX 75061-2219
(972) 253-4208
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
738943
TX
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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