Individual
TIFFANY NICOLSHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9600 BAPTIST HEALTH DR STE 360, LITTLE ROCK, AR 72205-6322
(501) 227-6727
Mailing address
1111 ASTER DR, NORTH LITTLE ROCK, AR 72117-9762
(903) 293-4106
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215181
AR
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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