Miss Tabatha Johnson
Nurse Practitioner - Primary Care
15100 Ella Blvd Apt 708
Houston
, Texas 77090-7033
Miss Tabatha Johnson
Nurse Practitioner - Primary Care
15100 Ella Blvd Apt 708
Houston
, Texas 77090-7033
(832) 283-3102
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Miss Tabatha Johnson
- Po Box 11058
- Houston, TX
- Zip : 77293-1058
- Phone : (832) 283-3102
Second Address
- Miss Tabatha Johnson
- 15100 Ella Blvd Apt 708
- Houston, TX
- Zip : 77090-7033
- Phone : (832) 283-3102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | AP130052 | TX |
National Provider Identifier
| NPI | 1043677222 |
|---|---|
| Provider Name | Miss Tabatha Johnson |
| First Address | Houston, TX 77293-1058 |
| Second Address | Houston, TX 77090-7033 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2016 |
| Last Update Date | 19/01/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.