Individual
NIKKI JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 521249, BIG LAKE, AK 99652-1249
(907) 223-6709
Mailing address
PO BOX 521249, BIG LAKE, AK 99652-1249
(907) 223-6709
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118876
AK
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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