Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JACKIE GLEN JOHNSON
Active Sole ProprietorMR. JACKIE GLEN JOHNSON is a Case Management Agency healthcare provider located in MIDLOTHIAN, Texas. NPI 1871130112 is currently active in the NPPES registry. Verify at CMS.
Case Management Agency · MIDLOTHIAN, TX
Registration Details
- NPI Number
- 1871130112
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2019 (6.7273015328273 yrs)
- Last Updated
- Dec 5, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
434 ASHLAWN DRMIDLOTHIAN, TX, 760655612Browse TX providers · Browse ZIP 76065
- Phone
- 8176095474
- Fax
- 4696726069
- Primary Specialty
-
Case Management Agency
251B00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.