Individual
MADISON FAITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
(502) 235-8546
Mailing address
845 S 3RD ST, LOUISVILLE, KY 40203-2213
(502) 235-8546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4006487
KY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4006487
KY
Other
Enumeration date
06/01/2026
Last updated
06/13/2026
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