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Individual

MS. TAMERA LEE JOHNSON-ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N., C.N.S.

Contact information

Practice address
1905 PARSONS AVE, COLUMBUS, OH 43207-1933
(614) 586-4159
(614) 586-4252
Mailing address
2780 AIRPORT DR STE 100, COLUMBUS, OH 43219-2289
(614) 859-1906
(614) 645-5517

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704136194
MI
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
04494-NS
OH
364SG0600X
Gerontology Clinical Nurse Specialist
4704136194
MI
364SM0705X
Medical-Surgical Clinical Nurse Specialist
04494-NS
OH

Other

Enumeration date
07/17/2012
Last updated
08/03/2018
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