| 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: CO C-APN.0103600-C-NP) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0039159) | |
| 363L00000X Nurse Practitioner (Licence: NM 11018) | |
| 363L00000X Nurse Practitioner (Licence: AZ 305163) | |
| 363L00000X Nurse Practitioner (Licence: HI APRN-5015) | |
| 363L00000X Nurse Practitioner (Licence: AL 3-002795) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2026-02-09 |