Individual
TABITHA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
990 E STATE ROAD 44, FRANKLIN, IN 46131-9199
(317) 736-8474
(317) 736-6040
Mailing address
990 E STATE ROAD 44, FRANKLIN, IN 46131-9199
(317) 736-8474
(317) 736-6040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002153
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200855590
—
IN
Enumeration date
01/11/2007
Last updated
03/31/2021
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