Individual
MRS. BRENDA JOYCE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
600 N WOLFE STREET MEYER 6 113, BALTIMORE, MD 21287-0001
(410) 614-0522
Mailing address
600 N WOLFE STREET MEYER 6 113, BALTIMORE, MD 21287-0001
(410) 614-0522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R102027
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NO NUMBER
—
Enumeration date
10/15/2009
Last updated
10/15/2009
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