MEDICARE: MRS. ABBEY JOHNSON FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	LG0000691	DE
2	363LF0000X	Family Nurse Practitioner	AP141480	TX

General Provider Information

NPI Number	:	1497181606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ABBEY JOHNSON FNP

Provider Business Mailing Address
First Line	:	5331 E MOCKINGBIRD LN STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5132
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:

Provider Business Practice Location Address
First Line	:	5331 E MOCKINGBIRD LN STE 100
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5132
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:	415-252-7176

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2013
Last Update Date	:	03/17/2025

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