| NPI | 1225621154 |
|---|---|
| Professional Name | DEDRA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1019802) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 79468) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61548217) | |
| Enumeration Date | 2021-02-11 |
| Last Update Date | 2025-07-22 |