Most Relevant Information
Provider Data
| NPI Number: | 1003359951 |
| Provider Name: | JACQUELINE JOHNSON AGNP |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 81-4360797 |
Most Important Dates
| Enumeration Date: | 11/27/2016 |
| Last Updated: | 09/27/2019 |
Provider Practice Location
822 RED TIP DR
ALLEN
TX
750025023
Practice Location Phone/Fax
| Phone: | 5014168045 |
| Fax: |
Provider Mailing Location
822 RED TIP DR
ALLEN
TX
750025023
Provider Mailing Phone/Fax
| Phone: | 5014168045 |
| Fax: |