Wendi Gay Johnston, RN
Individual provider Active NPI Registered Nurse · Big Sandy, TX
NPI 1467051961 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1467051961
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 990063 (TX)
- Practice address
- 8535 Weeping Willow Rd
Big Sandy, TX 75755-5364 - Phone
- (903) 576-5124
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 990063 | TX | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 990063 | TX | Yes |
Addresses
Primary practice location
8535 Weeping Willow Rd
Big Sandy, TX 75755-5364
Mailing address
8535 Weeping Willow Rd
Big Sandy, TX 75755-5364
Phone (903) 576-5124
Other names
- Wendi Turner Johnston
Other providers in Big Sandy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.