Individual
LAKAYA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 WALTON WAY, HOPKINSVILLE, KY 42240-6808
(270) 886-1919
Mailing address
819 LITTLE SPRINGS RD, CLARKSVILLE, TN 37040-5493
(719) 237-1558
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4017021
KY
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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