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Individual
MRS. KRISTEN MARIE JOHNSON
Active
Individual
MRS. KRISTEN MARIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.384874
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020880
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0244216
—
OH
Enumeration date
09/17/2017
Last updated
01/28/2020
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