Johnson, Jacquelyn Stella

Johnson, Jacquelyn Stella is an individual health care provider with primary practice located at 11350 Us Highway 380 Ste 100 , Crossroads TX 76227-8319. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Jacquelyn Stella can be contacted via phone (940) 228-0721.

Contact Information

Primary practice address
11350 Us Highway 380 Ste 100 Crossroads TX 76227-8319
Phone: (940) 228-0721
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 948039 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F06230198 Texas

Profile Details

NPI number 1609569714
LBN Legal business name Johnson, Jacquelyn Stella
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2023
Last updated Jun 23rd, 2023 - about last year

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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