Provider Demographics
NPI:1588069736
Name:JOHNSON, KAREN E (RN, MPH, ND)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:E
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:RN, MPH, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13303 LAKE TIMBER CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-7689
Mailing Address - Country:US
Mailing Address - Phone:281-251-5769
Mailing Address - Fax:
Practice Address - Street 1:13303 LAKE TIMBER CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7689
Practice Address - Country:US
Practice Address - Phone:281-251-5769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-30
Last Update Date:2014-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX519939163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health