Individual
GUSCILLA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1006 FORD AVE, OWENSBORO, KY 42301-4677
(270) 688-1227
Mailing address
1006 FORD AVE, OWENSBORO, KY 42301-4677
(270) 688-1227
(270) 688-1075
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
1070520
KY
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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