Individual
LISA HENRY-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1 HAVEN FOR HOPE WAY, SAN ANTONIO, TX 78207-1266
(210) 220-2100
Mailing address
6800 PARK TEN BLVD STE 200S, SAN ANTONIO, TX 78213-4293
(210) 834-1100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
756186
TX
363L00000X
Nurse Practitioner
Primary
1077291
TX
Other
Enumeration date
05/08/2007
Last updated
08/15/2024
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