Individual
PAMELA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11191 ILLINOIS ROUTE 185, HILLSBORO, IL 62049-2664
(217) 532-2001
(217) 532-6361
Mailing address
11191 ILLINOIS ROUTE 185, HILLSBORO, IL 62049-2664
(217) 532-2001
(217) 532-6361
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041185114
IL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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