Individual
KIMBERLY JOHNSON
Active
Individual
KIMBERLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
321125
NC
163W00000X
Registered Nurse
655384
PA
163W00000X
Registered Nurse
661348
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
310859
NY
Other
Enumeration date
03/25/2016
Last updated
11/13/2025
Update your record
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