| NPI | 1043601057 |
|---|---|
| Professional Name | JOHNNIE DOMINICA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277001345) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209012407) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2023-07-25 |