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Individual
MRS. KIMBERLY SPIKES JOHNSON
Active
Individual
MRS. KIMBERLY SPIKES JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
1-139047
AL
251S00000X
Community/Behavioral Health Agency
1-139047
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-139047
AL
363LP2300X
Primary Care Nurse Practitioner
1-139047
AL
Other
Enumeration date
06/13/2018
Last updated
05/21/2025
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