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Individual

MRS. PAULA A JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3900 WASHINGTON AVE # 100, EVANSVILLE, IN 47714-0550
(812) 485-6694
Mailing address
3900 WASHINGTON AVE # 100, EVANSVILLE, IN 47714-0550

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2526P
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
71003626A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100044250
KY
Enumeration date
02/22/2006
Last updated
11/09/2023
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