NICOLE R JOHNSON

SPRINGFIELD, IL
NPI1275041097
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209017282)
Enumeration Date2018-01-15
Last Update Date2024-09-13
Business Address
NICOLE R JOHNSON APN
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800
Mailing Address
NICOLE R JOHNSON APN
3132 OLD JACKSONVILLE RD
SPRINGFIELD, IL 62704-7400
Phone number: 217-862-0800