Provider Demographics
NPI:1063703510
Name:JOHNSON, KAREN A (APN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3746 SCHERTZ PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-2929
Mailing Address - Country:US
Mailing Address - Phone:210-380-1706
Mailing Address - Fax:
Practice Address - Street 1:3746 SCHERTZ PKWY STE 100
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-2929
Practice Address - Country:US
Practice Address - Phone:210-380-1706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-02
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX639757363LP2300X
TXAP119719363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care