Individual
MRS. SHANNON LEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN NNP
Contact information
Practice address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-9342
Mailing address
6001 E BROAD ST, COLUMBUS, OH 43213-1502
(614) 234-9342
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN268037
OH
363LN0000X
Neonatal Nurse Practitioner
Primary
APRNCNP019865
OH
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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