MRS. MILICENT CHERISSE JOHNSON


Address: 2401 S 31st St, 4b Pediatric Gastroenterology Clinic, Temple, TX 76508-0001
Phone: 2547242708

MRS. MILICENT CHERISSE JOHNSON (NPI# 1013224286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013224286
Entity Type Individual
Full Name MRS. MILICENT CHERISSE JOHNSON
Other Name MRS. MILICENT CHERISSE HELMS
Credential CPNP
Practice Address 2401 S 31st St
4b Pediatric Gastroenterology Clinic
Temple
TX 76508-0001
Mailing Address 3821 Oak Valley Dr
Killeen
TX 76542-4532
Practice Telephone 2547242708
Mailing Telephone 2546907452
Enumeration Date 2010-09-08
Last Update Date 2010-09-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
634850 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2401 S 31ST ST
4B PEDIATRIC GASTROENTEROLOGY CLINIC
City TEMPLE
State TX
Zip Code 76508-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487650651 Kathleen G Halka Internal Medicine 2401 S 31st St, Temple, TX 76508 2005-06-22
1720689060 Christy Evans Pharmacist 2401 S 31st St, Temple, TX 76508-0001 2020-11-03
1588264683 Giuseppe Tavilla Surgery 2401 S 31st St, Temple, TX 76508-0001 2020-10-28
1942809884 Crystal Das Student in an Organized Health Care Education/Training Program 2401 S 31st St, Temple, TX 76508-0001 2020-10-21
1730795766 Joshua R Ledezma Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-09-15
1437762069 Caroline Stanley Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-08-24
1841809191 Deanette James Registered Nurse 2401 S 31st St, Temple, TX 76508-0001 2020-07-23
1285259309 Amanda Lea Johnson Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2020-06-15
1013539758 Brittany Ellis Physical Therapist 2401 S 31st St, Temple, TX 76508-0001 2020-05-15
1114549508 Matthew Marvin Galland Pharmacist 2401 S 31st St, Temple, TX 76508-0001 2020-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619596491 Samuel Adrian Matthys Student in an Organized Health Care Education/Training Program 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 2020-04-13
1700414968 Darshan Patel Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 2020-03-31
1992332134 Kiersi Harmon Student in an Organized Health Care Education/Training Program 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 2020-03-26
1053948851 Christian Beltran Student in an Organized Health Care Education/Training Program 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 2020-03-24
1790311850 Chinyere Ashley Onyirimba Student in an Organized Health Care Education/Training Program Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 2020-03-19
1578022398 Kedric Glenn Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 2019-03-19
1518426592 Muhammad Imran Bhatti Student in an Organized Health Care Education/Training Program Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 2019-03-18
1780143883 Nathaniel Clayton Palmer Student in an Organized Health Care Education/Training Program 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 2019-03-18
1235620741 Fahmida Musharof Student in an Organized Health Care Education/Training Program 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 2018-05-21
1275038325 Robert Casey Alan Finch Student in an Organized Health Care Education/Training Program 2401 S 31st St, Ms-ck-300, Temple, TX 76508 2018-03-29
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346542107 Allyson D Parker Nurse Practitioner 2112 Sw Loop 363, Suite 110, Temple, TX 76504-7004 2010-11-30
1285277061 Charity Ann Driver Nurse Practitioner 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 2019-10-23
1497230395 Jennifer Smith Nurse Practitioner 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 2018-09-27
1730612631 Janet Isat Nurse Practitioner 6684 W Adams Ave, Temple, TX 76502-5632 2017-04-06
1770035941 Toni Sorensen Nurse Practitioner 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502-1814 2016-11-03
1790138378 Brittany Eichhorn Nurse Practitioner 1901 Sw H K Dodgen Loop Bldg 300, Temple, TX 76502 2016-07-19
1124423272 Jill Mcgahey Nurse Practitioner 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 2014-10-31
1336544758 Lindsey Nicole Willis Nurse Practitioner 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 2014-10-28
1215272554 Julie Ann Castro Nurse Practitioner 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 2012-11-27
1659699221 Shannen Lynn Dumond Nurse Practitioner 2401 S 31st St, Temple, TX 76508-0001 2010-05-06
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Competitor

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City TEMPLE
Zip Code 76508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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