Individual
MS. ELIZABETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5760 PATRIOT BLVD STE C, AUSTINTOWN, OH 44515-1170
(330) 270-8610
(330) 270-2690
Mailing address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 312490
OH
363LF0000X
Family Nurse Practitioner
Primary
CNP.022154
OH
Other
Enumeration date
09/05/2013
Last updated
09/23/2019
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