institution
Holly Johnson Ltc, Pllc
Primary Care Nurse Practitioner in Tyler, Texas
NPI 1114426756

Holly Johnson Ltc, Pllc is a Primary Care Nurse Practitioner based in Jacksonville, TX and is specialized in Primary Care. Holly Johnson Ltc, Pllc practices in Tyler, TX. The NPI Number for Holly Johnson Ltc, Pllc is 1114426756 and holds a License No. AP136353 (Texas).

The current practice location address for Holly Johnson Ltc, Pllc is 5505 New Copeland Rd, Tyler, TX and can be reached out via phone at 903-705-0202.

Location: 5505 New Copeland Rd, Tyler, TX, 75766-4342
institution
Provider Profile Details
NPI Number
1114426756
Provider Name
Holly Johnson Ltc, Pllc
Credential
Provider Entity Type
Organization
Address
5505 New Copeland Rd, Tyler, TX, 75766-4342
Phone Number
903-705-0202
Fax Number
Provider Enumeration Date
02/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5505 New Copeland Rd
City
State
Zip
75703-3955
Phone Number
903-705-0202
Fax Number
person
Provider Business Mailing Address Details
Address
5505 New Copeland Rd
City
State
Zip
75703-3955
Phone Number
903-705-0202
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AP136353 (Texas)
Definition
Definition to come...
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