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Individual

MS. RAMONA JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, CS

Contact information

Practice address
950 S 1ST ST, LOUISVILLE, KY 40203-2288
(502) 585-9444
(502) 585-9466
Mailing address
950 S 1ST ST, LOUISVILLE, KY 40203-2288
(502) 585-9444
(502) 585-9466

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1035573
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2085S
KY
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
2085S
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000219646
ANTHEM
KY
01
228847000
MAGELLAN
KY
01
407089013
TRICARE
KY
05
9033
KY
Enumeration date
01/24/2007
Last updated
06/11/2014
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