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NPI Code Detail

MEDICARE: MISS LESSIE JOHNSON FNP-BC

MEDICARE: MISS LESSIE 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
1363LF0000XFamily Nurse Practitioner736075TX
2363LF0000XFamily Nurse Practitioner226127OK

General Provider Information

NPI Number : 1336559509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LESSIE JOHNSON FNP-BC
Provider Business Mailing Address
First Line : 8144 WALNUT HILL LANE
Second Line : SUITE 1120
City : DALLAS
State : TX
Zip : 75231
Country : US
Telephone Number : 214-785-2200
Fax Number : 877-885-9904
Provider Business Practice Location Address
First Line : 8144 WALNUT HILL LN
Second Line : SUITE 1120
City : DALLAS
State : TX
Zip : 75231-4388
Country : US
Telephone Number : 214-785-2200
Fax Number : 877-885-9904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2014
Last Update Date : 12/11/2025

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Directions to “ MISS LESSIE JOHNSON FNP-BC” Practice Location

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