| Ms Heather Elizabeth Johnston, ACNP-BC | |
|
505 S Nolen Dr, Southlake, TX 76092-9167 | |
| (817) 424-1525 | |
| (817) 424-3491 |
| Full Name | Ms Heather Elizabeth Johnston |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 505 S Nolen Dr, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720323504 | NPI | - | NPPES |
| 752355 | Other | TX | CRNA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 752355 (Texas) | Primary |
| Entity Name | Texas Digestive Disease Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Heather Elizabeth Johnston, ACNP-BC Po Box 35629, Dallas, TX 75235-0629 Ph: (214) 424-2213 | Ms Heather Elizabeth Johnston, ACNP-BC 505 S Nolen Dr, Southlake, TX 76092-9167 Ph: (817) 424-1525 |
Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197 | |
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698 | |
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675 | |
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775 | |
Britney Molini, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1050 E State Highway 114 Ste 100, Southlake, TX 76092 Phone: 817-329-8364 | |
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000 | |
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104 |