Individual
ERICA S JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5020 NORTHSHORE DR, NORTH LITTLE ROCK, AR 72118-5324
(501) 748-8000
Mailing address
17208 E MAIL ROUTE RD, LITTLE ROCK, AR 72206-6296
(501) 412-0788
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
097766
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
RN
AR
Enumeration date
08/24/2021
Last updated
08/24/2021
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