JASON B JOHNSON

ETMC PHYSICIAN GROUP, INC.

Dr JASON B JOHNSON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2010.

Contact

ETMC PHYSICIAN GROUP, INC.

117 N WINNSBORO ST
UT HEALTH EAST TEXAS PHYSICIANS
QUITMAN
TX
757832144

Tel: 9037636220

JASON B JOHNSON Information

Npi 1467752915
Pac Id 1153504626
Professional Enrollment Id I20110321000597
Last Name JOHNSON
First Name JASON
Middle Name B
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2010
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ETMC PHYSICIAN GROUP, INC.
Group Practice Pac Id 4486915600
Number Of Group Practice Members 183
Line 1 Street Address 117 N WINNSBORO ST
Line 2 Street Address UT HEALTH EAST TEXAS PHYSICIANS
Marker Of Address Line 2 Suppression
City QUITMAN
State TX
Zip Code 757832144
Phone Number 9037636220
Hospital Affiliation Ccn 1 450083
Hospital Affiliation Lbn 1 EAST TEXAS MEDICAL CENTER
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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