Individual
MOLLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1408 CAMPBELL DR, IRONTON, OH 45638-2301
(740) 534-9195
(740) 534-9327
Mailing address
305 N 5TH ST, IRONTON, OH 45638-1578
(740) 532-4858
(740) 532-4859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4632P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380503
ANTHEM BCBS
KY
01
—
000000609842
ANTHEM BCBS
KY
05
—
1437181104
—
WV
05
—
2830119
—
OH
05
—
78015401
—
KY
Enumeration date
07/06/2006
Last updated
03/17/2018
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