Individual
PAMELA ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
325 4TH AVE STE 4, SOUTH CHARLESTON, WV 25303-1266
(304) 744-4940
(304) 746-5620
Mailing address
PO BOX 123, HANDLEY, WV 25102-0123
(304) 442-8155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
37438
WV
Other
Enumeration date
09/10/2020
Last updated
12/05/2020
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