Individual
RHONDA RAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2300 N ROCKTON AVE, PAC TEAM OFFICE - MAIN CLINIC, ROCKFORD, IL 61103-3619
(815) 971-2000
(815) 971-9599
Mailing address
2300 N ROCKTON AVE, PAC TEAM OFFICE - MAIN CLINIC, ROCKFORD, IL 61103-3619
(815) 971-2000
(815) 971-9599
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
209004226
IL
Other
Enumeration date
03/26/2007
Last updated
01/09/2015
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