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Individual
MS. RANDI YVONNE JOHNSON
Active
Individual
MS. RANDI YVONNE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
SP010221
PA
163WG0600X
Gerontology Registered Nurse
SP010221
PA
163WH0200X
Home Health Registered Nurse
SP010221
PA
363LF0000X
Family Nurse Practitioner
Primary
SP010221
PA
Other
Enumeration date
03/13/2009
Last updated
07/29/2016
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