Individual
ANTALLIA SHAUNTELL JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2505 US HWY 431 WOMEN'S CENTER SUITE A, BOAZ, AL 35957
(256) 840-4530
(256) 840-4537
Mailing address
2505 US HWY 431 WOMEN'S CENTER SUITE A, BOAZ, AL 35957
(256) 840-4530
(256) 840-4537
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1-154179
AL
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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