# DR. MELISSA LOWDER JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770210767
- **Gender:** F
- **Credential:** APRN DNP PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3083210-4405 | UT | Yes |

## Other

- **Enumeration date:** 08/01/2022
- **Last updated:** 08/01/2022

## 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 |