Individual
MS. SHIRLINE BEVERLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
124 SLEEPY HOLLOW DR, MIDDLETOWN, DE 19709-5838
(302) 449-3030
(302) 449-3040
Mailing address
206 APPLE TREE LN, MIDDLETOWN, DE 19709-9393
(302) 310-7477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
LG-0001113
DE
363LF0000X
Family Nurse Practitioner
Primary
LG-0001113
DE
Other
Enumeration date
07/23/2018
Last updated
09/05/2024
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