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Individual
TAMMY L. JOHNSON
Active
Individual
TAMMY L. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008814
KY
363LF0000X
Family Nurse Practitioner
COA.16361-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115926
—
OH
05
—
3810028389
—
WV
05
—
7100408100
—
KY
Enumeration date
08/10/2014
Last updated
10/03/2018
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