Individual
TWYLA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1325 ANDREA ST, BOWLING GREEN, KY 42104-5852
(270) 783-3323
(270) 781-0566
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 783-3323
(270) 781-0566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003938
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78013679
—
KY
Enumeration date
06/22/2005
Last updated
06/03/2019
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