Individual
MRS. MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
300 S 8TH ST STE 380W, MURRAY, KY 42071-2442
(270) 753-0704
(270) 752-2852
Mailing address
300 S 8TH ST, STE 480W, MURRAY, KY 42071-2400
(270) 753-0704
(270) 752-2852
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
3007776
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100352510
—
KY
Enumeration date
06/13/2014
Last updated
11/13/2024
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