Individual
MRS. REBECCA ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
747 NORTHERN AVE, HAGERSTOWN, MD 21742-2723
(301) 791-6360
Mailing address
9910 BROWNS MILL RD, GREENCASTLE, PA 17225-9705
(717) 658-3852
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R149871
MD
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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