Individual
ADRIENNE NOELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1937 MACDADE BLVD, FOLSOM, PA 19033-1214
(866) 389-2727
Mailing address
7200 MERION TRCE APT D312, UPPER DARBY, PA 19082-1736
(267) 738-6528
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN621411
PA
363LF0000X
Family Nurse Practitioner
Primary
SP018066
PA
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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