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Individual
TASHANA DENISE JOHNSON
Active
Individual
TASHANA DENISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R191917
MD
363LF0000X
Family Nurse Practitioner
Primary
5014998
NC
363LF0000X
Family Nurse Practitioner
R191917
MD
Other
Enumeration date
10/15/2013
Last updated
03/13/2025
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