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Individual
VALERIE JOHNSON
Active
Individual
VALERIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002727
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200919480
—
IN
Enumeration date
09/17/2008
Last updated
09/29/2014
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