Individual
AMANDA MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP
Contact information
Practice address
1330 MERCY DR NW, SUITE 101, CANTON, OH 44708-2626
(330) 588-4676
(330) 588-3677
Mailing address
1330 MERCY DR NW, SUITE 101, CANTON, OH 44708-2626
(330) 588-4676
(330) 588-3677
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.18395
OH
363LA2200X
Adult Health Nurse Practitioner
RN.311985
OH
Other
Enumeration date
11/11/2015
Last updated
01/22/2021
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