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Individual

DR. ABIGAIL LEIGH JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
3422A COURT ST, PEKIN, IL 61554-6235
(309) 477-6000
(309) 477-6001
Mailing address
1420 W PIONEER PKWY, PEORIA, IL 61615-1941
(309) 308-9540

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209021794
IL

Other

Enumeration date
10/09/2020
Last updated
04/18/2023
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