Individual
CHACIE LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 729-2017
Mailing address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 729-2017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60098622
WA
Other
Enumeration date
04/13/2012
Last updated
03/23/2016
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