Individual
TIFFANY LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
701 TECH CENTER DR, GAHANNA, OH 43230-1987
(614) 396-2684
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(740) 879-8141
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0027014
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.0027014
OH
Other
Enumeration date
07/28/2020
Last updated
05/15/2025
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