Individual
TELISHA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7600 SE CRAIN HWY, UPPER MARLBORO, MD 20772-4232
(301) 627-6603
Mailing address
2001 BUTTERFIELD RD, STE 300, DOWNERS GROVE, IL 60515-1069
(630) 725-2730
(844) 205-5691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AC002448
MD
Other
Enumeration date
09/12/2018
Last updated
07/10/2019
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