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Mr. Jason Bradley Johnson, NP-C
Family Nurse Practitioner in Tyler, Texas
NPI 1467752915

Jason Bradley Johnson is a Family Nurse Practitioner based in Tyler, TX and is specialized in Family. Jason Bradley Johnson practices in Tyler, TX and has the professional credentials of NP-C. The NPI Number for Jason Bradley Johnson is 1467752915 and holds a License No. 714451 (Texas).

The current practice location address for Jason Bradley Johnson is 700 Olympic Plaza Cir, Tyler, TX and can be reached out via phone at 903-596-3844 and via fax at 903-596-3843.

Location: 700 Olympic Plaza Cir, Tyler, TX, 75701-1947
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467752915
Provider Name
Jason Bradley Johnson
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
700 Olympic Plaza Cir, Tyler, TX, 75701-1947
Phone Number
903-596-3844
Fax Number
903-596-3843
Provider Enumeration Date
11/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
700 Olympic Plaza Cir
City
Tyler
State
Texas
Zip
75701-1951
Phone Number
903-596-3844
Fax Number
903-596-3843
person
Provider Business Mailing Address Details
Address
700 Olympic Plaza Cir
City
Tyler
State
Texas
Zip
75701-1951
Phone Number
903-596-3844
Fax Number
903-596-3843
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
714451 (Texas)
Definition
Definition to come...
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