Individual
NICOLE YVONNE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6808 QUEENS FERRY RD, BALTIMORE, MD 21239-1242
(410) 823-1456
(410) 823-1456
Mailing address
6808 QUEENS FERRY RD, BALTIMORE, MD 21239-1242
(410) 823-1456
(410) 823-1456
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R156064
MD
Other
Enumeration date
05/08/2011
Last updated
05/08/2011
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