NPI | 1568894152 |
---|---|
Former Name | JANNAS ASHLEE JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 221533) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2025-04-14 |