Provider Demographics
NPI:1386352961
Name:JOHNSON, DARNEQUEA TRAMECE (FNP)
Entity type:Individual
Prefix:
First Name:DARNEQUEA
Middle Name:TRAMECE
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 ATLANTIS DR STE A
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-1637
Mailing Address - Country:US
Mailing Address - Phone:281-707-0939
Mailing Address - Fax:
Practice Address - Street 1:17045 SAINT EDWARDS DR STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-1753
Practice Address - Country:US
Practice Address - Phone:281-707-0939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-11
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1146981363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily