TRACY LYNN JOHNSON

FORT WAYNE, IN
NPI1518046002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71000592A)
Enumeration Date2006-11-03
Last Update Date2017-08-18
Business Address
Mrs. TRACY LYNN JOHNSON NP
7900 W JEFFERSON BLVD SUITE 304
FORT WAYNE, IN 46804-4128
Phone number: 260-435-6200
Mailing Address
Mrs. TRACY LYNN JOHNSON NP
6326 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 260-515-3275
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