Individual
MRS. GABRIELLE NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
625 N 6TH ST, PHOENIX, AZ 85004-2155
(602) 406-8222
(602) 406-7811
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
163WH1000X
Hospice Registered Nurse
RN161269
AZ
363LF0000X
Family Nurse Practitioner
275380
MT
363LF0000X
Family Nurse Practitioner
Primary
AP10360
AZ
Other
Enumeration date
06/22/2017
Last updated
01/14/2026
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