Individual
VANESSA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGACNP-BC, SCRN
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-4429
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3015438
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3015438
KY
Other
Enumeration date
12/10/2020
Last updated
05/08/2025
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