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Individual

ANGELA D JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-FPA

Contact information

Practice address
2902 MCFARLAND RD STE 300, ROCKFORD, IL 61107-6801
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277000127
IL
363LA2200X
Adult Health Nurse Practitioner
277000127
IL
363LF0000X
Family Nurse Practitioner
209009641
IL
363LF0000X
Family Nurse Practitioner
277000127
IL

Other

Enumeration date
08/01/2012
Last updated
04/04/2023
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