Individual
JULIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 258-6719
Mailing address
25 BRIDGER TRL, DOUGLAS, WY 82633-9562
(307) 258-6719
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
47187
WY
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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