Robin Louise Johnson, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Teague, TX

NPI 1831604834 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1831604834
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP134959 (TX)
Practice address
200 Spur 113
Teague, TX 75860-5174
Phone
(254) 739-5555
NPI assigned
Dec 12, 2017
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

State licenses

LicenseStateTypeSpecialty
247718TXMDRegistered Nurse
AP134959TXMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 247718 TX
Family Nurse Practitioner 363LF0000X AP134959 TX Yes

Addresses

Primary practice location

200 Spur 113
Teague, TX 75860-5174

Mailing address

149 Private Road 8422
Palestine, TX 75803-2799
Phone (903) 723-5593

Other identifiers

IdentifierTypeStateIssuer
24037OtherTXPRESCIPTIVE AUTHORIZATION
247718OtherTXREGISTERED NURSE
AP134959OtherTXNURSE PRACTITIONER

Other providers in Teague, TX

All providers in Teague, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.