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Individual

MS. ELIZABETH JANE JOHNS

Active
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Individual

MS. ELIZABETH JANE JOHNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209011512
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209011512
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420066535
MO
Enumeration date
05/05/2014
Last updated
06/30/2026
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