Individual provider · Type 1 NPI
Johnny Malcolm Hasserodt, NP
Nurse Practitioner · Corpus Christi, TX
Practice location
13725 Northwest Blvd Ste 260
Corpus Christi, TX 78410-5123
Mailing address
PO Box 261017
Corpus Christi, TX 78426-1017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 674744 (TX) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1164716072
Johnny Malcolm Hasserodt, NP's National Provider Identifier is 1164716072, issued on Jun 8, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Corpus Christi, TX. The record was last updated on Aug 3, 2016.