Individual
MRS. GINA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1019 CAMPUS DR, BIG RAPIDS, MI 49307-2280
(231) 591-2614
(231) 591-5970
Mailing address
1019 CAMPUS DR, BIG RAPIDS, MI 49307-2280
(231) 591-2614
(231) 591-5970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704286080
MI
Other
Enumeration date
07/23/2018
Last updated
05/26/2022
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