Individual provider · Type 1 NPI

Shearren Johnson

Nurse Practitioner · Tyler, TX

NPI number 1528600574 Active

Practice location

4293 Kinsey Dr
Tyler, TX 75703-1004

Fax (903) 363-9207

Mailing address

306 E Young St
Longview, TX 75602-1114

Other practice locations

  • 2162 US Highway 259 S, Diana, TX 75640-3510 · (903) 663-2055

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician 207QA0505XAP143436 (TX)
Nurse Practitioner Primary 363L00000XAP143436 (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 1528600574

Shearren Johnson's National Provider Identifier is 1528600574, issued on Oct 10, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on Jun 8, 2021.