Johnson, Darlene

Johnson, Darlene is an individual health care provider with primary practice located at 2400 Cedar Bend Dr , Austin TX 78758-5378. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Johnson, Darlene can be contacted via phone (512) 901-4016.

Contact Information

Primary practice address
2400 Cedar Bend Dr Austin TX 78758-5378
Phone: (512) 901-4016
Fax: (512) 901-3857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 529179 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 529179 Texas

Profile Details

NPI number 1811944747
LBN Legal business name Johnson, Darlene
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Apr 21st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811944747 NPPES
Texas MEDICAID 142555501

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