Individual
MS. ERICA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 446-6410
(217) 477-4757
Mailing address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 446-6410
(217) 477-4757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209007008
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200895040
—
IN
01
—
912316
HEALTHLINK
—
Enumeration date
03/27/2008
Last updated
12/10/2008
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