| NPI | 1013552637 |
|---|---|
| Former Name | CARRIE LEIGH JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 201995) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142648) |
| 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-73109) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2023-06-28 |