| NPI | 1770426371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAWN JOHNSON-HUNTER Nurse Practitioner 443-687-1421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2026-04-10 |
| Last Update Date | 2026-04-10 |