Individual
LIEUTENANT JOHNSON SUPERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
6301 MOUNTAIN VISTA ST STE 104, HENDERSON, NV 89014-2365
(512) 201-6766
Mailing address
6301 MOUNTAIN VISTA ST STE 104, HENDERSON, NV 89014-2365
(512) 201-6766
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
847157
NV
Other
Enumeration date
07/30/2021
Last updated
12/05/2025
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