Individual
MS. NICOLE REID JOHNSON
Active
Individual
MS. NICOLE REID JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
D0065952
MD
2084F0202X
Forensic Psychiatry Physician
Primary
MD036867
DC
2084P0800X
Psychiatry Physician
228050
NY
Other
Enumeration date
02/21/2007
Last updated
02/20/2014
Update your record
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