MEDICARE: NORMA JEAN JOHNSON

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	253Z00000X	In Home Supportive Care Agency
2	347E00000X	Transportation Broker

General Provider Information

NPI Number	:	1639896442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMA JEAN JOHNSON

Provider Business Mailing Address
First Line	:	2600 K AVE STE 102
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-5310
Country	:	US
Telephone Number	:	469-284-0838
Fax Number	:	469-304-1904

Provider Business Practice Location Address
First Line	:	2600 K AVE STE 102
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75074-5310
Country	:	US
Telephone Number	:	469-284-0838
Fax Number	:	469-304-1904

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

Provider Enumeration Date	:	10/24/2022
Last Update Date	:	02/20/2026

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Directions to “ NORMA JEAN JOHNSON ” Practice Location

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