Dedra Johnson

NPI #1225621154 in Richmond, Texas

Provider Information

NPI Number
1225621154
Entity Type
Individual
Name
Dedra Johnson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Feb 11, 2021
Last Updated
Jul 22, 2025

Practice Location

Address
8554 RUBY RIVER LN
State
Texas
ZIP Code
77407-2580
Phone
(716) 444-2537

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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