Individual
DEBBIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5016 US HWY 75, DENISON, TX 75020-4584
(903) 821-4909
Mailing address
PO BOX 426, ECTOR, TX 75439-0426
(903) 821-4909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
630048
TX
Other
Enumeration date
09/07/2015
Last updated
09/07/2015
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