Individual
MARCHELE LYNETTE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
820 S UNIVERSITY BLVD BLDG 1, SUITE 1B, MOBILE, AL 36609-7859
(251) 633-5155
(251) 633-5125
Mailing address
820 S UNIVERSITY BLVD BLDG 1, SUITE 1B, MOBILE, AL 36609-7859
(251) 633-5155
(251) 633-5125
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-123856
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-70526
BCBS OF AL
AL
Enumeration date
06/05/2013
Last updated
09/14/2016
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