Individual
SHERRY LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
915 VINTAGE VALLEY PKWY STE 200, ZILLAH, WA 98953-9800
(509) 314-6565
Mailing address
2628 BEES CREEK RD, RIDGELAND, SC 29936-6840
(843) 441-6579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60945506
WA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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