Individual
GILLIAN MCRAVIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 845-5951
Mailing address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 845-5951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61085269
WA
Other
Enumeration date
08/24/2020
Last updated
01/28/2025
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