Provider Demographics
NPI:1417016999
Name:JOHNSON, FRANCES MARY (NP)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARY
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4021 GARTH RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3160
Mailing Address - Country:US
Mailing Address - Phone:281-420-7211
Mailing Address - Fax:281-420-7206
Practice Address - Street 1:4021 GARTH RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3160
Practice Address - Country:US
Practice Address - Phone:281-420-7211
Practice Address - Fax:281-420-7206
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP110823363LA2200X, 363LA2100X
TX624493363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171809002Medicaid
TX171809004Medicaid
TX171809003Medicaid
TX171809001Medicaid
TX171809002Medicaid
TX171809004Medicaid
TX171809001Medicaid
TX8L21022Medicare PIN
TX8L21021Medicare PIN