Most Relevant Information
Provider Data
| NPI Number: | 1003413808 |
| Provider Name: | JOHN JOHNSON NURSE PRACTITIONER |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0808X |
| Specialty: | Nurse Practitioner |
| License Number: | 1011652 |
Most Important Dates
| Enumeration Date: | 10/05/2020 |
| Last Updated: | 10/05/2020 |
Provider Practice Location
121 W LAMBERTH RD STE A
SHERMAN
TX
750922662
Practice Location Phone/Fax
| Phone: | 9038926700 |
| Fax: | 9038926774 |
Provider Mailing Location
121 W LAMBERTH RD STE A
SHERMAN
TX
750922662
Provider Mailing Phone/Fax
| Phone: | 9038926700 |
| Fax: | 9038926774 |