Individual
MR. WINDELL LAMONT JOHNSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7500 DOLLARWAY RD STE 301, WHITE HALL, AR 71602-3084
(512) 201-6766
Mailing address
7604 TOLTEC DR, NORTH LITTLE ROCK, AR 72116-4586
(512) 201-6766
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
124247
AR
363LP2300X
Primary Care Nurse Practitioner
Primary
124247
AR
Other
Enumeration date
12/09/2019
Last updated
12/16/2025
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