Individual
KENRA EARLINE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
19805 N 51ST AVE STE 33, GLENDALE, AZ 85308-5198
(480) 209-2849
Mailing address
19805 N 51ST AVE STE 33, GLENDALE, AZ 85308-5198
(480) 209-2849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5624
AZ
Other
Enumeration date
04/16/2015
Last updated
05/03/2023
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