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Individual

AMANDA LYNN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(931) 224-5383
Mailing address
495 FRANKLIN HEIGHTS DR, WINCHESTER, TN 37398-4679
(931) 967-5113

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
72339
NM
363LA2100X
Acute Care Nurse Practitioner
0040287
OH
363LA2100X
Acute Care Nurse Practitioner
APN0000007833
TN

Other

Enumeration date
04/19/2007
Last updated
05/07/2026
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