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General NPI Number Information
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NPI Number | 1588914469
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Entity Type | Individual
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Provider Name | COURTNEY DEANNA JOHNSON DNP, RN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2012
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 261 RUTGERS AVE
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City | RED OAK
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State | TX
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Zip | 75154-1645
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Country | US
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Telephone | 469-505-9554
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Fax |
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Provider Business Mailing Address
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Address Line | 7325 N. ST. PAUL STREET, SUITE 3100
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City | DALLAS
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State | TX
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Zip | 75201
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Country | US
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Telephone | 469-505-9554
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 736973
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License Number State | TX
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