MEDICARE: SASHCHELLE JOHNSON MSN, APRN, CPNP-PC

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	163W00000X	Registered Nurse	855511	TX
2	363LP0200X	Pediatric Nurse Practitioner	1038056	TX

General Provider Information

NPI Number	:	1073091336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SASHCHELLE JOHNSON MSN, APRN, CPNP-PC

Provider Business Mailing Address
First Line	:	7400 FANNIN ST STE 770
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1970
Country	:	US
Telephone Number	:	713-621-4422
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 FANNIN ST STE 770
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1970
Country	:	US
Telephone Number	:	713-621-4422
Fax Number	:

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

Provider Enumeration Date	:	07/30/2018
Last Update Date	:	05/14/2025

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