=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396460317
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZULMERICCE JOHNSON FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2022
-----------------------------------------------------
Last Update Date | 08/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8700 US HIGHWAY 380 STE 300
-----------------------------------------------------
City | CROSS ROADS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76227-2661
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 940-365-7033
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2381 E UNIVERSITY DR STE 50
-----------------------------------------------------
City | PROSPER
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75078-2390
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-921-0102
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 1037019
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------