Organization
EXCLUSIV NP CONCIERGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TASHANA JOHNSON CRNP (OWNER)
(980) 370-4400
Entity
Organization
Contact information
Practice address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
(980) 370-4400
Mailing address
5457 TWIN KNOLLS RD STE 300, COLUMBIA, MD 21045-3296
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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