Individual provider · Type 1 NPI
Shantel Johnson, FNP-C
Family Nurse Practitioner · Fort Worth, TX
NPI number
1609611292
Active
Practice location
200 W Magnolia Ave Ste 201
Fort Worth, TX 76104-7657
Fax (817) 702-7315
Mailing address
17200 Westgrove Dr Apt 2421
Addison, TX 75001-7136
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1169611 (TX) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1609611292
Shantel Johnson, FNP-C's National Provider Identifier is 1609611292, issued on Jun 26, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Aug 13, 2024.