Individual
SARA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
828 LANE ALLEN RD STE 219, LEXINGTON, KY 40504-3659
(260) 483-9081
Mailing address
1102 WINNERS CIR APT 11, LOUISVILLE, KY 40242-7549
(317) 498-3244
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4011430
KY
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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