NPI | 1437433489 |
---|---|
Professional Name | CAMILLE ALECIA PAYNE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 079610) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2307768) |
Enumeration Date | 2011-10-07 |
Last Update Date | 2019-07-19 |