Individual
CICELY NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3700 ENGLEWOOD DR, STOW, OH 44224-3204
(330) 688-1828
Mailing address
1136 KIRKWALL DR, COPLEY, OH 44321-1729
(330) 329-5577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.021557
OH
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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