Johnson, Thaira Evylenn

Johnson, Thaira Evylenn is an sole proprietor health care provider with primary practice located at 801 N Tarrant Pkwy , Keller TX 76248-6860. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Thaira Evylenn can be contacted via phone (817) 428-5558.

Contact Information

Primary practice address
801 N Tarrant Pkwy Keller TX 76248-6860
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 236689 Texas

Profile Details

NPI number 1548458920
LBN Legal business name Johnson, Thaira Evylenn
Credentials RN, FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2007
Last updated Jan 22nd, 2009 - about 15 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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