Individual
MRS. ERIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
965 EMERSON PKWY STE J, GREENWOOD, IN 46143-6274
(317) 887-1060
(317) 887-1460
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28147844A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006388A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201375510
—
IN
01
—
71006388A
APN LICENSE
IN
Enumeration date
01/20/2016
Last updated
04/27/2023
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