| NPI | 1932667342 |
|---|---|
| Former Name | KAREN SUE JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WV 71042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OH APRNCNP0033415) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 3013303) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WV 71042) | |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2023-04-12 |