IndividualActive
Johnnie Brown, PROGRAM MANAGER
NPI 1841478997 · Lodging Provider · Longview, TX
Provider details
- NPI number
- 1841478997
- Entity type
- Individual
- Primary specialty
- Lodging ProviderOther Service Providers
- Credential
- PROGRAM MANAGER
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
28 Melanie Ct
Longview, TX 75603-9104
Phone: (903) 643-9385
Approximate (ZIP-level) locationGet directions
Mailing address
28 Melanie Ct
Longview, TX 75603-9104
Registry dates
- Enumerated
- 2008-01-31
- Last updated
- 2008-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.