Individual
DARLENE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2400 CEDAR BEND DR, AUSTIN, TX 78758-5378
(512) 901-4016
(512) 901-3857
Mailing address
12221 MOPAC EXPRESSWAY NORTH, AUSTIN, TX 78758-2483
(512) 901-4016
(512) 901-3857
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
529179
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
529179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142555501
—
TX
Enumeration date
05/27/2006
Last updated
04/21/2011
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