Mrs. Milicent Cherisse Johnson
Nurse Practitioner - Pediatrics
2401 S 31st St 4b Pediatric Gastroenterology Clinic
Temple
, Texas 76508-0001
Mrs. Milicent Cherisse Johnson
Nurse Practitioner - Pediatrics
2401 S 31st St 4b Pediatric Gastroenterology Clinic
Temple
, Texas 76508-0001
(254) 690-7452
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mrs. Milicent Cherisse Johnson
- 3821 Oak Valley Dr
- Killeen, TX
- Zip : 76542-4532
- Phone : (254) 690-7452
Second Address
- Mrs. Milicent Cherisse Johnson
- 2401 S 31st St 4b Pediatric Gastroenterology Clinic
- Temple, TX
- Zip : 76508-0001
- Phone : (254) 724-2708
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 634850 | TX |
National Provider Identifier
| NPI | 1013224286 |
|---|---|
| Provider Name | Mrs. Milicent Cherisse Johnson |
| First Address | Killeen, TX 76542-4532 |
| Second Address | Temple, TX 76508-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
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.