Individual
CARI BETH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
912 WALLACE AVE, LEITCHFIELD, KY 42754-2404
(270) 259-8888
(270) 259-8887
Mailing address
908 WALLACE AVE, LEITCHFIELD, KY 42754-1479
(270) 259-8888
(270) 259-8887
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008167
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100299030
—
KY
Enumeration date
07/06/2013
Last updated
07/16/2020
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