Individual
DEBRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
363 S BURNETT RD, SPRINGFIELD, OH 45505-2628
(937) 688-3743
Mailing address
6685 LONDON RD, SOUTH CHARLESTON, OH 45368-9632
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
358972
OH
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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