Individual
CARIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
12340 STATE ROUTE 104, WAVERLY, OH 45690-8968
(740) 941-5180
(740) 941-5178
Mailing address
12340 STATE ROUTE 104, WAVERLY, OH 45690-8968
(740) 941-5180
(740) 941-5178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.360187
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020386
OH
Other
Enumeration date
12/29/2016
Last updated
12/29/2020
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