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

Mr. William Glen Johnson, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1396223970

Mr. William Glen Johnson, FNP-BC is a Nurse Practitioner in Jourdanton, Texas. Qualified in 2016, 10 years ago. Practices with Conviva Medical Center Management of Texas, PA, a 148-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2018
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

1105 Oak St Ste A
Jourdanton, TX 78026-2117
Phone: (830) 769-2181
Fax: (830) 769-2858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP138051 (TX)

Record details

NPI number1396223970
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 5, 2018
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Conviva Medical Center Management Of Texas, P.A. — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services