Individual
MRS. ANDREA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 CHILDRENS WAY, LITTLE ROCK, AR 72202-3500
(501) 364-1100
Mailing address
100 LORENE ST, AUSTIN, AR 72007-9143
(501) 454-7908
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A03303 ANP
AR
Other
Enumeration date
01/12/2010
Last updated
05/23/2013
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