Healthcare Provider Details

I. General information

NPI: 1396460317
Provider Name (Legal Business Name): ZULMERICCE JOHNSON FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2022
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 US HIGHWAY 380 STE 300
CROSS ROADS TX
76227-2661
US

IV. Provider business mailing address

2381 E UNIVERSITY DR STE 50
PROSPER TX
75078-2390
US

V. Phone/Fax

Practice location:
  • Phone: 940-365-7033
  • Fax:
Mailing address:
  • Phone: 512-921-0102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1037019
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: