Individual
JANESSA BAARDA JOHNSON-MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
286 US HIGHWAY 23 N, PRESTONSBURG, KY 41653-8732
(606) 874-0032
(606) 874-0817
Mailing address
286 US HIGHWAY 23 N, PRESTONSBURG, KY 41653-8732
(606) 874-0032
(606) 874-0817
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004257
KY
363LF0000X
Family Nurse Practitioner
4257P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78011970
—
KY
Enumeration date
01/20/2006
Last updated
07/18/2017
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