NPI 1750690004

Kellie Diann Johnson

Practitioner Licensed Vocational Nurse Huntsville, TX

Practice location

Address: 1412 15th St, Huntsville, TX 77340-4430
Phone: (936) 222-0788

Registered specialties

Licensed Vocational Nurse Primary

Nursing Service Providers Taxonomy 164X00000X Licence 221883 (TX)

Other Licensed Vocational Nurse providers in Texas →

Registry record

NPI: 1750690004
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Oct 2010
Record last updated: 5 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.