Individual
JUDITH L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1108 ROSS CLARK CIR, HOSPITALIST OFFICE, DOTHAN, AL 36301-3022
(334) 712-3635
(334) 699-4387
Mailing address
1108 ROSS CLARK CIR, HOSPITALIST OFFICE, DOTHAN, AL 36301-3022
(334) 712-3635
(334) 699-4387
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2188812
FL
363LF0000X
Family Nurse Practitioner
Primary
1-095402
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305523000
—
FL
Enumeration date
05/27/2005
Last updated
05/01/2024
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