Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Lee Johnson

Individual provider Certified Registered Nurse Anesthetist · NPI 1932772076

Jordan Lee Johnson is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2010, 16 years ago. Practices with Emergenchealth PLLC, a 1,024-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
16
Licensed in
TX
In the registry since
2021
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Practice location Address checks out

10983 Bighorn Dr
Tyler, TX 75707-5360
Phone: (318) 312-1772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 136156 (TX)

Record details

NPI number1932772076
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2021
Last updated in NPPESJuly 16, 2021
Certification dateJuly 16, 2021
Mailing address10983 Bighorn Dr, Tyler, TX 75707-5360

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Emergenchealth Pllc — 1024 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tyler