Individual
HEATHER NICOLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
2557 ZEBEC STREET, POWELL, OH 43065
(419) 769-0317
Mailing address
2557 ZEBEC STREET, POWELL, OH 43065
(419) 769-0317
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
133801
OH
Other
Enumeration date
09/23/2011
Last updated
09/25/2013
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