Individual
TIA LEIGH JOHNSON
Active
Individual
TIA LEIGH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, APRN-CNP, FNP,
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
CS72101
ID
363L00000X
Nurse Practitioner
Primary
11663939-4405
UT
363L00000X
Nurse Practitioner
76975
ID
363LF0000X
Family Nurse Practitioner
Primary
RN162098 AP7905
AZ
Other
Enumeration date
07/23/2015
Last updated
04/30/2026
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