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Individual

JOANNA LYNN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
901 SAINT MARYS DR STE 200, EVANSVILLE, IN 47714
(812) 485-6030
Mailing address
901 SAINT MARYS DR STE 200, EVANSVILLE, IN 47714-0509

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71003702A
IN
363LG0600X
Gerontology Nurse Practitioner
71003702A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
71003702A
IN
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
71003702A
IN

Other

Enumeration date
02/20/2014
Last updated
07/06/2022
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