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Individual
DR. MELISSA LOWDER JOHNSON
Active
Individual
DR. MELISSA LOWDER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN DNP PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3083210-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022012145
AMERICAN NURSES CREDENTIALING CENTER
—
01
—
3083210-3102
UTAH DOPL
UT
01
—
3083210-4405
UTAH DOPL (APRN)
UT
01
—
3083210-8900
UTAH DOPL (APRN CONTROLLED SUBSTANCE)
UT
Enumeration date
08/01/2022
Last updated
08/01/2022
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