Individual
DR. DEORA KAYE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNP
Contact information
Practice address
10 NORTH GREENE ST., 6D-104, BALTIMORE, MD 21201-1524
(410) 605-7363
Mailing address
1 RESEARCH CT STE 450, ROCKVILLE, MD 20850-6252
(240) 428-3047
(888) 815-3583
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R193679
MD
Other
Enumeration date
10/23/2005
Last updated
04/13/2025
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