Individual
HOLLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 LUDINGTON ST, SUITE 100, ESCANABA, MI 49829-4212
(906) 789-4414
Mailing address
3409 LUDINGTON ST, SUITE 100, ESCANABA, MI 49829-4212
(906) 789-4414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704278219
MI
363LF0000X
Family Nurse Practitioner
Primary
4704278219
MI
Other
Enumeration date
05/20/2016
Last updated
06/27/2017
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