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Individual

DR. AMY B. CHEATWOOD-JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C., APRN-CNP, FNP

Contact information

Practice address
610 PATTERSON LN, RUSSELLVILLE, AR 72802-1392
(479) 857-9766
Mailing address
509 MAIN STREET, LA JARA, CO 81140
(719) 274-5000

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHIA-1313
ID
363LF0000X
Family Nurse Practitioner
0101849
OK
363LF0000X
Family Nurse Practitioner
Primary
0992020
CO

Other

Enumeration date
03/09/2007
Last updated
12/26/2023
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