Individual
DR. ELISSA FAITH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
676 S FLOYD ST STE 200, LOUISVILLE, KY 40202-1840
(502) 629-2806
(502) 629-2809
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6347
(502) 272-5395
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3011092
KY
363LF0000X
Family Nurse Practitioner
3011092
KY
Other
Enumeration date
02/09/2017
Last updated
04/13/2021
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