| NPI | 1649209982 |
|---|---|
| Former Name | JOANNE M JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP151168) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN223580) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-02-24 |