Provider Demographics
NPI:1306464458
Name:JOHNSON-MASSEY, BRIANA MARIE (RN)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:MARIE
Last Name:JOHNSON-MASSEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8510 GREAVES LN
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-6221
Mailing Address - Country:US
Mailing Address - Phone:210-385-0669
Mailing Address - Fax:
Practice Address - Street 1:8510 GREAVES LN
Practice Address - Street 2:
Practice Address - City:SCHERTZ
Practice Address - State:TX
Practice Address - Zip Code:78154-6221
Practice Address - Country:US
Practice Address - Phone:210-385-0669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-06
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1002097163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse