Individual
MRS. ANTOINETTE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
402 W MAIN ST, CABOT, AR 72023-2900
(501) 628-9215
Mailing address
126 MOUNTAIN VALLEY DR, MAUMELLE, AR 72113-6993
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224157
AR
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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