Individual
GARY TAYLOUR JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1440 JEFFERSON STREET, GREENFIELD, OH 45123
(937) 981-2880
Mailing address
127 W SPRINGFIELD ST, FRANKFORT, OH 45628-8008
(740) 649-7888
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
390421
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0028127
OH
Other
Enumeration date
04/17/2015
Last updated
12/04/2020
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