NPI | 1508174517 |
---|---|
Former Name | JAMI K JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95018943) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH APRN.CNP.15014) |
363L00000X Nurse Practitioner (Licence: OH APRN.CNP.15014) | |
Enumeration Date | 2010-09-24 |
Last Update Date | 2022-04-21 |