Individual
DEBRA A JOHNSEN
Active
Individual
DEBRA A JOHNSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-03967
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200508940
—
IN
05
—
2499167
—
OH
05
—
78012465
—
KY
01
—
P00194628
RAIL ROAD MEDICARE
OH
Enumeration date
05/04/2006
Last updated
01/19/2018
Update your record
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