Individual provider · Type 1 NPI

Milicent Cherisse Johnson, CPNP

Pediatric Nurse Practitioner · Temple, TX

NPI number 1013224286 Active

Practice location

2401 S 31st St, 4B Pediatric Gastroenterology Clinic
Temple, TX 76508-0001

Mailing address

3821 Oak Valley Dr
Killeen, TX 76542-4532

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X634850 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1013224286

Milicent Cherisse Johnson, CPNP's National Provider Identifier is 1013224286, issued on Sep 8, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Temple, TX. The record was last updated on Sep 8, 2010.