Individual
MELISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 948-3516
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 944-0233
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
28218316A
IN
Other
Enumeration date
12/14/2014
Last updated
11/20/2020
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