Individual
RANDELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3425 ENSIGN RD NE STE 220, OLYMPIA, WA 98506-5063
(360) 493-4019
(360) 493-7479
Mailing address
3425 ENSIGN RD NE STE 220, OLYMPIA, WA 98506-5063
(360) 493-4019
(360) 493-7479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ARNP.AP.70137230-NP
WA
207Q00000X
Family Medicine Physician
Primary
RN61184028
WA
363LF0000X
Family Nurse Practitioner
Primary
ARNP.AP.70137230-NP
WA
Other
Enumeration date
02/19/2026
Last updated
08/06/2026
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