Individual
OLIVIA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1100 N F AVE, DOUGLAS, AZ 85607-1919
(520) 364-3285
(520) 364-3378
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-1429
(520) 515-8690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231513
AZ
163W00000X
Registered Nurse
95256334
CA
363L00000X
Nurse Practitioner
Primary
231513
AZ
Other
Enumeration date
09/04/2021
Last updated
01/22/2026
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