Tabitha Johanan, is a
Licensed Vocational Nurse based in Jarrell, Texas. Tabitha Johanan is licensed to practice in Texas (license number 223317) and her current practice location is
300 Judge King Dr, Jarrell, Texas. She can be reached at her office (for appointments etc.) via phone at
(512) 630-7652.
NPI number for Tabitha Johanan is 1063904043 and her current mailing address is 300 Judge King Dr, Jarrell, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063904043.
Provider's Profile
| Full Name | Tabitha Johanan |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Vocational Nurse |
|---|
| Location | 300 Judge King Dr, Jarrell, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1063904043
- Provider Enumeration Date: 06/05/2018
- Last Update Date: 06/05/2018
Medical Identifiers
Medical identifiers for Tabitha Johanan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063904043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 223317 (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. Tabitha Johanan 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 |
|---|
Tabitha Johanan,
300 Judge King Dr,
Jarrell, TX 76537-1756
Ph: (512) 630-7652 | Tabitha Johanan,
300 Judge King Dr,
Jarrell, TX 76537-1756
Ph: (512) 630-7652 |
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