Provider / Organization | NPI | Date Certified |
---|---|---|
JAMIE VAUGHN JOHNSON | 1407584733 | 2023-09-19 |
Jamie Vaughn Johnson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407584733. Registration indicates Jamie Vaughn Johnson is a provider of services with a specialization in Nursing Service Related Providers, Technician (Technician, ) (Technician, Nursing Service Related Providers)
Entity Type | Individual |
Provider Name | Ms. Jamie Vaughn Johnson |
Practice Office Address | 509 E BYRON NELSON BLVD STE C ROANOKE, TX US |
Practice Office Telephone | 2143265721 |
Mailing Address | 4213 ROUND VALLEY LANE FORT WORTH, TX 76262 US |
Business Telephone | 2143265721 |
private company email address [] | mailto:[email protected] | Direct |
Code | Practice | License No State |
---|---|---|
374700000X PRIMARY | Nursing Service Related Providers Technician Technician Technician Nursing Service Related Providers | |
193400000X SING | Group Code |