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

Mrs. Tialicka Burgos Johnson, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1891159463

Mrs. Tialicka Burgos Johnson, WHNP-BC is a Women's Health Nurse Practitioner in Holloman AFB, New Mexico. Licensed in Virginia. Registered with an NPI since 2016.

Licensed in
VA
In the registry since
2016

Practice location Address checks out

49 Mdg 280 David L Goldfein St
Holloman AFB, NM 88330-8273
Phone: (575) 572-3069
Show map & directions

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

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 24176717 (VA)

Record details

NPI number1891159463
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESJuly 10, 2025
Certification dateJune 26, 2025

Other providers in Holloman AFB