Individual
TERA L. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
240449
LA
363LP0200X
Pediatric Nurse Practitioner
60705836
WA
Other
Enumeration date
11/08/2016
Last updated
11/15/2025
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