Individual
FAITH DENISE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12205 COUNTY LINE RD, SUITE B, MADISON, AL 35758-7719
(256) 325-4365
(256) 461-0393
Mailing address
12205 COUNTY LINE RD, SUITE B, MADISON, AL 35758-7719
(256) 325-4365
(256) 461-0393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-043283
AL
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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