Individual
TINA HA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
MERCY MEDICAL CENTER, 345 ST PAUL PL, BALTIMORE, MD 21202
(443) 306-9942
Mailing address
234 ANGELICA WAY, NEW FREEDOM, PA 17349-8911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R225672
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R225672
MD
Other
Enumeration date
02/03/2025
Last updated
07/22/2025
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