Individual
DEBRA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 488-2855
Mailing address
7232 JUSTIN WAY, MENTOR, OH 44060-4881
(440) 488-2855
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.521889
OH
164W00000X
Licensed Practical Nurse
LPN.162877.MEDS-IV
OH
Other
Enumeration date
10/26/2022
Last updated
02/01/2024
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