Tara Johnson, RN

NPI #1073851325 in Conway, Arkansas

Provider Information

NPI Number: 1073851325
Entity Type: Individual
Name: Tara Johnson, RN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Credential: RN
Enumeration Date: Jan 22, 2013
Last Updated: Jan 22, 2013

Practice Location

Address: 2740 COLLEGE AVE
City: Conway
State: Arkansas
ZIP Code: 72034-6141
Phone: (501) 329-5459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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