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NPI Code Detail

MEDICARE: MS. PATRICIA ANN JOHNSON FNP

MEDICARE: MS. PATRICIA ANN JOHNSON FNP
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 PractitionerNP11682CA
2363LF0000XFamily Nurse PractitionerAP117237TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP129258OTHERTXAPRN
2NP11682OTHERCANP
3505752OTHERCARN

General Provider Information

NPI Number : 1912043647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA ANN JOHNSON FNP
Provider Business Mailing Address
First Line : 14047 CARSTEN LOOP
Second Line :
City : SALADO
State : TX
Zip : 76571-6710
Country : US
Telephone Number : 599-365-1431
Fax Number :
Provider Business Practice Location Address
First Line : 415 INDIAN OAKS DR
Second Line :
City : HARKER HEIGHTS
State : TX
Zip : 76548-6202
Country : US
Telephone Number : 254-699-5051
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 08/20/2025

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