Michelle Laurane Johnson, NP-C
Nurse Practitioner, Family in Fort Worth, TX. Individual provider (NPI-1).
NPI number1801519087
StatusActive
Last updated in NPPESApr 21, 2023
Details
- NPI
- 1801519087
- Entity type
- Individual (NPI-1)
- Name
- Michelle Laurane Johnson
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 22, 2022
- Certification date
- Apr 21, 2023
- Last updated
- Apr 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1070688 | TX | Yes |
Practice location
5701 Bryant Irvin Rd Ste 301Fort Worth, TX 76132-4027
Phone 817-912-9800
Mailing address
5701 Bryant Irvin Rd Ste 301Fort Worth, TX 76132-4027
Phone 214-557-0530
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