Individual
JANNA MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2100 MARKET ST, CHARLESTOWN, IN 47111-9535
(812) 503-5100
(812) 288-6603
Mailing address
2100 MARKET ST, CHARLESTOWN, IN 47111-9535
(812) 288-2488
(812) 288-6603
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
71011239A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011239A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300053678
—
IN
01
—
IN3604044
MEDICARE IN
IN
Enumeration date
07/26/2021
Last updated
11/08/2021
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