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Individual

PAMELA PENINA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP-PMH

Contact information

Practice address
17 WARREN RD STE 20B, BALTIMORE, MD 21208-5334
(410) 484-0036
(410) 484-8107
Mailing address
17 WARREN RD STE 20B, BALTIMORE, MD 21208-5334
(410) 484-0036
(410) 484-8107

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R172158
MD

Other

Enumeration date
04/21/2009
Last updated
06/20/2024
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