Individual
MRS. NICOLE MARIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 2E99, NEWARK, DE 19718-2200
(302) 652-8990
(302) 652-8646
Mailing address
200 HYGEIA DR STE 2300, NEWARK, DE 19713-2049
(302) 623-7113
(302) 623-0394
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
LG-0000619
DE
Other
Enumeration date
09/13/2012
Last updated
12/06/2017
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