Individual
NIKITA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MIDWIFE, DOULA
Contact information
Practice address
5024 DORSEY HALL DR # 203-D, ELLICOTT CITY, MD 21042-7869
(667) 303-2336
(410) 204-5176
Mailing address
5024 DORSEY HALL DR # 203-D, ELLICOTT CITY, MD 21042-7869
(444) 444-4444
(410) 204-5176
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000000000
NURSING SERVICE RELATED PROVIDERS TYPE
MD
05
—
000000000000000000
—
MD
Enumeration date
10/16/2019
Last updated
12/30/2025
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