SHANTAE JOHNSON

SUGAR LAND, TX
NPI1750872487
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: TX  AP143150)
Enumeration Date2018-05-30
Last Update Date2022-10-17
Business Address
SHANTAE JOHNSON NP-BC
17520 W GRAND PKWY S
SUGAR LAND, TX 77479-4758
Phone number: 812-725-5970
Mailing Address
SHANTAE JOHNSON NP-BC
17520 W GRAND PKWY S
SUGAR LAND, TX 77479-4758
Phone number: 281-725-5970