| NPI | 1841675576 |
|---|---|
| Other Name | TIA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 11663939-4405) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID 76975) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2026-04-07 |