Healthcare Provider Details

I. General information

NPI: 1417016999
Provider Name (Legal Business Name): FRANCES MARY JOHNSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 CONSTITUTION AVE NE BLDG D
ALBUQUERQUE NM
87110-7613
US

IV. Provider business mailing address

PO BOX 26666
ALBUQUERQUE NM
87125-6666
US

V. Phone/Fax

Practice location:
  • Phone: 505-559-6100
  • Fax: 505-559-6101
Mailing address:
  • Phone: 505-559-6100
  • Fax: 505-559-6101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCNP-03411
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: