Individual
RUSTIN BENDALL JOHNSON
Active
Individual
RUSTIN BENDALL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1-148876
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-148876
ALABAMA BOARD OF NURSING
AL
Enumeration date
09/19/2018
Last updated
09/19/2018
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