MEDICARE: MARTHA LYNNETTE JOHNSON FNP-BC

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	AP136761	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AP136761	OTHER	TX	TEXAS BOARD OF NURSING

General Provider Information

NPI Number	:	1063077295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA LYNNETTE JOHNSON FNP-BC

Provider Business Mailing Address
First Line	:	8145 HWY 6 S
Second Line	:	SUITE 112 PBM 1026
City	:	HOUSTON
State	:	TX
Zip	:	77083
Country	:	US
Telephone Number	:	832-536-6055
Fax Number	:	713-347-6924

Provider Business Practice Location Address
First Line	:	2225 COUNTY ROAD 90 STE 123
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-4891
Country	:	US
Telephone Number	:	832-536-6055
Fax Number	:	713-347-6924

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

Provider Enumeration Date	:	05/02/2019
Last Update Date	:	02/18/2026

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Directions to “ MARTHA LYNNETTE JOHNSON FNP-BC” Practice Location

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