MEDICARE: JENNY ANN JOHNSON FNP-C

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	AP144622	TX

General Provider Information

NPI Number	:	1568082055
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY ANN JOHNSON FNP-C

Provider Business Mailing Address
First Line	:	400 W LBJ FWY STE 360
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3764
Country	:	US
Telephone Number	:	972-402-8404
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 W LBJ FWY STE 360
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75063-3764
Country	:	US
Telephone Number	:	972-402-8404
Fax Number	:

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

Provider Enumeration Date	:	04/24/2020
Last Update Date	:	11/19/2020

Similar Medicare Providers

1003810086 — DR. NEIL P WILLIAMS MD
Practice Location Address:

400 W IH 635 FWY , STE 360
IRVING, TX
75063-3764

Practice Phone: 972-402-8404
Practice Fax: 972-402-9401

1295739266 — DR. FRANK W THEILEN MD
Practice Location Address:

400 W IH 635 FWY , STE 360
IRVING, TX
75063-3764

Practice Phone: 972-402-8404
Practice Fax: 972-402-9401

1720274061 — DR. MICA JILL INGRAM AU.D.
Practice Location Address:

400 W IH 635 FWY STE 360
IRVING, TX
75063-3764

Practice Phone: 972-402-8404
Practice Fax: 972-695-8796

1710417456 — DR. CLIFTON WOODS MD
Practice Location Address:

400 W IH 635 FWY STE 360
IRVING, TX
75063-3764

Practice Phone: 972-402-8404
Practice Fax: 972-695-8796

1831611797 — LAUREN CRAWFORD AUD
Practice Location Address:

400 W LBJ FWY STE 360
IRVING, TX
75063-3764

Practice Phone: 972-402-8404
Practice Fax:

1144153545 — KELLI THOMAS-DRAKE PBT, BA, MS, MS
Practice Location Address:

7610 SWEETGUM DR
IRVING, TX
75063-3460

Practice Phone: 469-261-5250
Practice Fax:

Directions to “ JENNY ANN JOHNSON FNP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.