Individual
TYNEKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
Mailing address
21480 S 224TH PL, QUEEN CREEK, AZ 85142-2860
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
230579
AZ
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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