Individual
MRS. ANDREA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12188A N MERIDIAN ST STE 320, CARMEL, IN 46032-4407
(317) 580-0420
(317) 580-0451
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 308-2800
(317) 576-6311
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
28212330A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013667A
IN
Other
Enumeration date
04/03/2022
Last updated
03/13/2023
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