Individual provider · Type 1 NPI
Jacquelyn Stella Johnson, FNP
Family Nurse Practitioner · Dallas, TX
NPI number
1609569714
Active
Practice location
3305 Gaston Ave
Dallas, TX 75246-2014
Mailing address
8501 FM 407
Double Oak, TX 75077-3031
Other practice locations
- 391 Highway 377 S, Argyle, TX 76226-5113 · (940) 784-7301
- 8501 FM 407, Lewisville, TX 75077-3031 · (972) 966-1980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F06230198 (TX) |
| Emergency Registered Nurse | 163WE0003X | 948039 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1609569714
Jacquelyn Stella Johnson, FNP's National Provider Identifier is 1609569714, issued on Jun 2, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dallas, TX. The record was last updated on Dec 4, 2025.