Individual
DAWN MARIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 W 4TH ST, MISHAWAKA, IN 46544-1917
(574) 325-5961
Mailing address
215 W 4TH ST, MISHAWAKA, IN 46544-1917
(574) 325-5961
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28192361A
IN
363L00000X
Nurse Practitioner
71008402A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71008402A
IN
Other
Enumeration date
09/19/2018
Last updated
11/18/2024
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