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Individual

CAROL JEAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1000 N 16TH ST STE 210, NEW CASTLE, IN 47362-4319
(765) 599-3800
(765) 521-7355
Mailing address
PO BOX 738801, DALLAS, TX 75373-8801
(765) 289-7444
(765) 289-8538

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
71009405A
IN
363LF0000X
Family Nurse Practitioner
71009405A
IN

Other

Enumeration date
09/25/2019
Last updated
01/02/2025
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