Individual
CADIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
(502) 498-0685
Mailing address
100 DIECKS DR, ELIZABETHTOWN, KY 42701-2443
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4035737
KY
Other
Enumeration date
03/17/2025
Last updated
10/28/2025
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