Individual
HEATHER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2601 GENE GEORGE BLVD, SPRINGDALE, AR 72762-0845
(479) 725-6880
(479) 725-6582
Mailing address
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
A003449
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193080758
—
AR
Enumeration date
09/22/2010
Last updated
12/17/2021
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