IndividualActive
Estella Johnson
NPI 1053884098 · Registered Nurse · Lake Kiowa, TX
Provider details
- NPI number
- 1053884098
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 719783 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
117 Comanche Dr
Lake Kiowa, TX 76240-9122
Phone: (940) 634-1177
Approximate (ZIP-level) locationGet directions
Mailing address
117 Comanche Dr
Lake Kiowa, TX 76240-9122
Registry dates
- Enumerated
- 2019-01-02
- Last updated
- 2019-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.