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Organization
SHARON A JOHNSON FNP LLC
Active
Organization
SHARON A JOHNSON FNP LLC
Active
Other names
Clinic of Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA LAUREL MORAN (PRACTICE MANAGER)
(219) 866-4135
Entity
Organization
Contact information
Practice address
124 W WASHINGTON ST, RENSSELAER, IN 47978-2820
(219) 866-8655
(219) 866-0803
Mailing address
124 W WASHINGTON ST, RENSSELAER, IN 47978-2820
(219) 866-8655
(219) 866-0803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300096893
—
IN
Enumeration date
03/26/2019
Last updated
10/31/2025
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