ANDREA MARIE JOHNSON

CENTRALIA, IL
NPI1316610256
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IL  209.023676)
Enumeration Date2021-07-27
Last Update Date2021-07-27
Business Address
ANDREA MARIE JOHNSON PMHNP
444 N PLEASANT AVE
CENTRALIA, IL 62801-3006
Phone number: 618-436-5665
Mailing Address
ANDREA MARIE JOHNSON PMHNP
1603 RUTH ANN DR
CENTRALIA, IL 62801-5913
Phone number: 618-214-1178
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