Individual
NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3964 WATERCOURSE DR APT 1349, FORT WORTH, TX 76109-2081
(214) 927-5048
Mailing address
2513 COUNTRY VALLEY RD, GARLAND, TX 75041-2135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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