Most Relevant Information
Provider Data
| NPI Number: | 1003221441 |
| Provider Name: | QUYEN JOHNSON NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | AP125305 |
Most Important Dates
| Enumeration Date: | 06/24/2014 |
| Last Updated: | 06/15/2020 |
Provider Practice Location
3126 W FM 120
DENISON
TX
750201249
Practice Location Phone/Fax
| Phone: | 9034167544 |
| Fax: | 9034167545 |
Provider Mailing Location
5012 S US HWY 75, SUITE 300
ATTN BILLING
DENISON
TX
750204587
Provider Mailing Phone/Fax
| Phone: | 9034167544 |
| Fax: | 9034167545 |