| NPI | 1528110889 |
|---|---|
| Former Name | JILL R JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 642707) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 642707) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2010-08-23 |