Individual
HEATHER ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 848491, DALLAS, TX 75284-8491
(254) 202-9330
(254) 202-9349
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
939803
TX
363L00000X
Nurse Practitioner
Primary
1029236
TX
363L00000X
Nurse Practitioner
939803
TX
Other
Enumeration date
11/03/2020
Last updated
01/18/2023
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