Organization
SERENITYNP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLYN LEE JOHNSON APN (PRESIDENT)
(847) 737-5277
Entity
Organization
Contact information
Practice address
18-2 E DUNDEE RD STE 140, BARRINGTON, IL 60010-5273
(847) 737-5277
(847) 737-5280
Mailing address
18-2 E DUNDEE RD STE 140, BARRINGTON, IL 60010-5273
(847) 737-5277
(847) 737-5280
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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