Individual
MS. MARY NEEL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP/BC
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN057678NP
GA
Other
Enumeration date
01/13/2009
Last updated
08/25/2011
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