Individual
KERI LYNN JOHNSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8815 GERMANTOWN AVE, SUITE 40, PHILADELPHIA, PA 19118-2722
(215) 248-3100
(215) 248-3971
Mailing address
8815 GERMANTOWN AVE, SUITE 40, PHILADELPHIA, PA 19118-2722
(215) 248-3100
(215) 248-3971
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0026503
DE
363LW0102X
Women's Health Nurse Practitioner
Primary
LH-0000229
DE
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
SP006775V
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101526057
—
PA
Enumeration date
06/08/2006
Last updated
01/10/2019
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