Individual
KAITLYN ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 553-4488
Mailing address
PO BOX 145, ALLENDALE, IL 62410-0145
(618) 553-4488
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209030912
IL
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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