Individual
MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
645 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-7268
(334) 361-7811
(334) 361-7804
Mailing address
645 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-7268
(334) 361-7811
(334) 361-7804
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-085605
AL
Other
Enumeration date
12/29/2008
Last updated
07/09/2019
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