Individual
KIMBERLY WALLER-JOHNSON
Active
Individual
KIMBERLY WALLER-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R082821
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
213192
AR
Other
Enumeration date
09/25/2020
Last updated
11/11/2022
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