Individual
MS. BETHSHEBA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6800 WEST LOOP SOUTH, SUITE 560, BELLAIRE, TX 77401
(713) 839-7111
(713) 839-7193
Mailing address
6200 SAVOY DRIVE, SUITE 540, HOUSTON, TX 77036
(713) 778-1300
(713) 778-0827
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
773406
TX
364SM0705X
Medical-Surgical Clinical Nurse Specialist
209002361
IL
Other
Enumeration date
03/28/2007
Last updated
10/15/2011
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