KEARA RONA' JOHNSON


Address: 2775 N State Highway 360 Apt 1021, Grand Prairie, TX 75050-7810
Phone: 3165164631

KEARA RONA' JOHNSON (NPI# 1558962456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558962456
Entity Type Individual
Full Name KEARA RONA' JOHNSON
Credential DNP APRN FNP-BC
Practice Address 2775 N State Highway 360 Apt 1021
Grand Prairie
TX 75050-7810
Practice Telephone 3165164631
Mailing Telephone 3165164631
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SF0001X Clinical Nurse Specialist
Specialization: Family Health
1018658 TX Physician Assistants & Advanced Practice Nursing Providers

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Office Location

Street Address 2775 N STATE HIGHWAY 360 APT 1021
City GRAND PRAIRIE
State TX
Zip Code 75050-7810

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Taxonomy Information

Taxonomy Code 364SF0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Family Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1578123402 Carrie Viola Phillips Clinical Nurse Specialist 9478 Homestead Ln., Forney, TX 75126 2019-06-13
1073088571 Lynne Darlene Piascik Clinical Nurse Specialist 1643 County Road 2291, Cleveland, TX 77327-0450 2018-10-11
1558843144 Abc Health Connection, Inc. Clinical Nurse Specialist 2019 Crawford St Rm 128, Houston, TX 77002-9002 2018-08-30
1225570096 Kimberly Young Clinical Nurse Specialist 3234 Mossy Elm Ct, Houston, TX 77059-3228 2016-11-10
1245772128 Wallace Watts Jr. Clinical Nurse Specialist 101 Potasio Street, Fabens, TX 79838 2016-11-09
1205378239 Scotty R Ortega Md Clinical Nurse Specialist 2487 E 11th Street, Odessa, TX 79761 2016-11-08
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Competitor

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City GRAND PRAIRIE
Zip Code 75050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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