Individual
VICTORIA M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3711 CASEY RD, NEWBURGH, IN 47630-8343
(812) 490-1122
(812) 490-1123
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 615-5019
(812) 615-5041
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3014197
KY
363L00000X
Nurse Practitioner
Primary
71009211A
IN
Other
Enumeration date
08/06/2019
Last updated
01/27/2020
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