Individual
MISTY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1404 E CHURCH ST, WARREN, AR 71671-3528
(870) 226-5856
Mailing address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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