Individual
JACQUELINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7803 CRYSTAL MOON DR, HOUSTON, TX 77040-6058
(713) 856-5265
Mailing address
7803 CRYSTAL MOON DR, HOUSTON, TX 77040-6058
(713) 856-5265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
646574
TX
Other
Enumeration date
10/11/2019
Last updated
01/22/2025
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