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1629273644
WHITNEY A JOHANNESSEN
FORT WORTH, TX
NPI
1629273644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 709355)
Enumeration Date
2007-06-19
Last Update Date
2021-05-05
Business Address
WHITNEY A JOHANNESSEN PNP
801 7TH AVE
FORT WORTH, TX 76104-2733
Phone number: 682-885-4054
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Mailing Address
WHITNEY A JOHANNESSEN PNP
PO BOX 733784
DALLAS, TX 75373-3784
Phone number: 682-885-1855
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