# DR. CARRIE LYNN JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174525091
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 036090783 | IL | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD189072 | OR | — |
| 207V00000X | Obstetrics & Gynecology Physician | MD61550112 | WA | — |
| 207V00000X | Obstetrics & Gynecology Physician | ME102875 | FL | Yes |

## Other

- **Enumeration date:** 08/11/2005
- **Last updated:** 08/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008052600 | — | FL |
| 05 | — | 119355500 | — | FL |
| 05 | — | 3025372 | — | OH |