Individual
MARY ABERNATHY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1711
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-142768
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
1-142768
AL
Other
Enumeration date
02/25/2022
Last updated
01/24/2025
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