Shearren Johnson, is a
Nurse Practitioner physician based in Tyler, Texas. Shearren Johnson is licensed to practice in Texas (license number AP143436) and her current practice location is 4293 Kinsey Dr, Tyler, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 592-5670.
NPI number for Shearren Johnson is 1528600574 and her current mailing address is 306 E Young St, Longview, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528600574.
Physician's Profile
Full Name | Shearren Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 4293 Kinsey Dr, Tyler, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528600574
- Provider Enumeration Date: 10/10/2019
- Last Update Date: 06/08/2021
Medical Identifiers
Medical identifiers for Shearren Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528600574 | NPI | - | NPPES |
143436 | Other | TX | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207QA0505X | Family Medicine - Adult Medicine | AP143436 (Texas) | Secondary |
363L00000X | Nurse Practitioner | AP143436 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shearren Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shearren Johnson, 306 E Young St, Longview, TX 75602-1114 Ph: (903) 241-2233 | Shearren Johnson, 4293 Kinsey Dr, Tyler, TX 75703-1004 Ph: (903) 592-5670 |
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