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Jimmie Johnson II, CRNA

Nurse Anesthetist, Certified Registered in Belton, TX. Individual provider (NPI-1).

NPI number1932162575
StatusActive
Last updated in NPPESNov 11, 2008

Details

NPI
1932162575
Entity type
Individual (NPI-1)
Name
Jimmie Johnson II
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 6, 2006
Last updated
Nov 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered684289TXYes

Practice location

501 Marshall Dr
Belton, TX 76513-3779

Phone 254-338-5473 · Fax 254-613-4064

Mailing address

501 Marshall Dr
Belton, TX 76513-3779

Phone 254-338-5473 · Fax 254-613-4064

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