Individual
NATALIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 6TH AVE S, BIRMINGHAM, AL 35233-1932
(205) 934-3411
Mailing address
5564 PARK SIDE CIR, HOOVER, AL 35244-5123
(901) 871-3781
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-173800
AL
363LA2100X
Acute Care Nurse Practitioner
Primary
1-173800
AL
Other
Enumeration date
04/01/2020
Last updated
02/01/2024
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