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Individual

MRS. AMANDA JANE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
800 W RANDOL MILL RD, ARLINGTON, TX 76012-2504
(817) 960-6100
Mailing address
5204 HIDDEN OAKS CT, ARLINGTON, TX 76017-1277
(817) 714-1413

Taxonomy

Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
710964
TX
363LF0000X
Family Nurse Practitioner
Primary
1089687
TX

Other

Enumeration date
09/30/2022
Last updated
09/30/2022
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