| NPI | 1003775727 |
|---|---|
| Former Name | CAITLYN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 111575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.553272) |
| Enumeration Date | 2026-01-19 |
| Last Update Date | 2026-08-11 |