Individual
WHITNEY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
597 N STATE HIGHWAY 181, GOSNELL, AR 72315-5905
(501) 642-0300
Mailing address
597 N STATE HIGHWAY 181, GOSNELL, AR 72315-5905
(870) 532-7879
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
R085765
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019039813
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
216739
AR
Other
Enumeration date
09/12/2011
Last updated
03/22/2024
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