Individual
PATRICIA JOHNSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17100 DIXIE HWY STE D, HAZEL CREST, IL 60429-1485
(985) 705-3263
Mailing address
17100 DIXIE HWY STE D, HAZEL CREST, IL 60429-1485
(985) 705-3263
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041308670
IL
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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