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Individual

MRS. JOANNE JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
6801 ROGERS AVE FL 5, FORT SMITH, AR 72903-4067
(479) 274-4100
Mailing address
9009 ROSEWOOD DR, FORT SMITH, AR 72903-7080

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
222967
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
211726
OKLAHOMA STATE BOARD OF NURSING
OK
01
222967
ARKANSAS STATE BOARD OF NURSING
AR
Enumeration date
02/09/2023
Last updated
01/26/2025
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