Individual
MRS. PAMELA S JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, FNP-BC, APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-1280
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4729
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021996
—
WI
Enumeration date
02/13/2012
Last updated
03/24/2025
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