Mary Agnes Johnson, NP
NPI #1003251539 in Fort Worth, Texas
Provider Information
- NPI Number
- 1003251539
- Entity Type
- Individual
- Name
- Mary Agnes Johnson, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- May 10, 2013
- Last Updated
- May 10, 2013
Practice Location
- Address
- 1400 8TH AVE
- City
- Fort Worth
- State
- Texas
- ZIP Code
- 76104-4110
- Phone
- (817) 922-7070
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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