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Individual

MRS. NICOLE LYNNE JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-C

Contact information

Practice address
2420 S UNION AVE STE 230, TACOMA, WA 98405-1323
(253) 343-0915
Mailing address
3824 CEDAR SPRINGS RD STE 80114364, DALLAS, TX 75219-4136

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP131949
TX
363LF0000X
Family Nurse Practitioner
Primary
AP61302316
WA

Other

Enumeration date
02/22/2016
Last updated
11/25/2025
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