Individual
MINDIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
83 W COLT SQUARE DR, FAYETTEVILLE, AR 72703-2814
(479) 935-1458
(866) 577-2189
Mailing address
PO BOX 2613, BENTONVILLE, AR 72712-7702
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R084211
AR
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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