Individual
TAQUITA WIMBERLY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN.CNP
Contact information
Practice address
8532 MENTOR AVE, MENTOR, OH 44060-5822
(216) 543-8484
Mailing address
4948 KAREN ISLE DR, RICHMOND HTS, OH 44143-1413
(216) 543-8484
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CPN.0035169
OH
Other
Enumeration date
05/13/2013
Last updated
10/21/2025
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