| NPI | 1881181634 |
|---|---|
| Former Name | KISHANA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28959) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018038756) |
| 163WE0003X Registered Nurse, Emergency (Licence: MO 2010010674) | |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-11-03 |