| NPI | 1417466871 |
|---|---|
| Former Name | KIMBERLY L JOHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61550203) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP09547) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61550203) | |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2024-09-27 |