Individual
ANITA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35235
(205) 934-6600
Mailing address
PO BOX 55309, BIRMINGHAM, AL 35255-5309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-062784
AL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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