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Individual

MS. DENESHA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1515 S UNIVERSITY BLVD, MOBILE, AL 36609-2958
(251) 343-9600
Mailing address
1515 S UNIVERSITY BLVD, MOBILE, AL 36609-2958
(251) 343-9600

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
1-099164
AL

Other

Enumeration date
12/19/2016
Last updated
12/19/2016
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