NPI | 1174769129 |
---|---|
Former Name | CHRISTIN LEIGHANN JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000013997) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000153445) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2024-06-10 |