Individual
MRS. DANA MICHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6701 AIRPORT BLVD, SUITE D-430, MOBILE, AL 36608-6705
(251) 639-2101
(251) 639-9122
Mailing address
6701 AIRPORT BLVD, SUITE D-430, MOBILE, AL 36608-6705
(251) 639-2101
(251) 639-9122
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-035293
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126740
—
AL
01
—
511-08436
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/02/2010
Last updated
08/29/2016
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