Individual
BROOKLYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2751
(859) 562-1085
(859) 257-5152
Mailing address
113 MCAFEE DR, NICHOLASVILLE, KY 40356-2751
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3016076
KY
Other
Enumeration date
10/26/2021
Last updated
01/24/2022
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