NPI age
4 years
Enumerated 2021-07-16
● Active
Type 1 · Individual
Jordan Lee Johnson
Johnson is 1 of 110 nurse anesthetist, certified registered providers in Tyler and 1 of 6676 in Texas.
Primary specialty
Nurse Anesthetist, Certified Registered
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 6676 active nurse anesthetist, certified registered providers in Texas.
NPI age
4 years
↓ 9 yr below median (13 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-07Enumerated in NPPES
2021
2026
Where they practice
Practice location
10983 Bighorn Dr
Tyler, TX 757075360
Mailing address
10983 Bighorn Dr
Tyler, TX 757075360
Specialties
-
Nurse Anesthetist, Certified Registered Primary(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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