Individual
MOLLY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 S CHURCH ST STE 400, JONESBORO, AR 72401-4112
(870) 935-6012
Mailing address
1900 STILLWATER DR, JONESBORO, AR 72404-9119
(870) 932-3600
(870) 932-3611
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R096554
AR
363LF0000X
Family Nurse Practitioner
Primary
A005817
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229158758
—
AR
Enumeration date
06/27/2015
Last updated
03/05/2019
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