Individual provider · NPI-1
Pamela M Johnson
Home Health Aide · Spring, TX
NPI number1265201917
StatusActive
Last updated in NPPESDec 21, 2023
Details
- NPI
- 1265201917
- Entity type
- Individual (NPI-1)
- Name
- Pamela M Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2023
- Certification date
- Dec 21, 2023
- Last updated
- Dec 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
22738 Cypresswood DrSpring, TX 77373-7121
Phone 225-240-2630
Mailing address
22738 Cypresswood DrSpring, TX 77373-7121
Phone 225-240-2630
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