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Individual

MRS. CODI VONNICE JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
500 W THOMAS RD STE 220, PHOENIX, AZ 85013-4215
(602) 887-5025
(888) 571-6435
Mailing address
17150 W ROYAL PALM RD, WADDELL, AZ 85355-7554
(623) 755-0294

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
265248
AZ

Other

Enumeration date
12/20/2021
Last updated
03/04/2024
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