Individual
EVA P. JOHNSON
Active
Individual
EVA P. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN074598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01188979
AMERIGROUP
GA
01
—
446578
WELLCARE
GA
05
—
739070228A
—
GA
05
—
891011560
—
AL
Enumeration date
06/08/2006
Last updated
12/08/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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