Individual
HEATHER DANELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 PLAZA BLVD, CABOT, AR 72023-3749
(501) 628-5580
(501) 628-5583
Mailing address
207 PLAZA BLVD, CABOT, AR 72023-3749
(501) 628-5580
(501) 628-5583
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R78242
AR
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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