# REBECCA G JOHNSON

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

## Provider details

- **NPI number:** 1285957308
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LW0102X | Women's Health Nurse Practitioner | 3006383 | KY | — |
| 363LX0001X | Obstetrics & Gynecology Nurse Practitioner | 3006383 | KY | — |
| 367A00000X | Advanced Practice Midwife | 3006383 | KY | Yes |
| 367A00000X | Advanced Practice Midwife | 6383M | KY | — |
| 367A00000X | Advanced Practice Midwife | APN16127 | TN | — |

## Other

- **Enumeration date:** 03/03/2010
- **Last updated:** 09/28/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1525514 | — | TN |
| 01 | — | 3380640 | GROUP MEDICAID | TN |
| 01 | — | 7100203570 | KY MEDICAID | KY |
| 01 | — | K009831 | KY MEDICARE PTAN | KY |