Individual
MRS. LEAH MICHELLE JOHNSON-WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6091 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 763-8112
(219) 884-2547
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 764-3251
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004244A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201160800
—
IN
Enumeration date
12/12/2012
Last updated
08/14/2020
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