| NPI | 1831685635 |
|---|---|
| Former Name | NISHEA ANDREA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP137871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 305163) |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-05-08 |