Search › New Mexico › 363LW0102X
Tialicka Johnson, WHNP-BC
NPI 1891159463 · on the registry since 2016
Practice
- Address
- 49 Mdg
280 David L Goldfein St
Holloman Afb, NM 88330 - Phone
- (575) 572-3069
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363LW0102X
363LW0102X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico