Cicely Nicole Johnson, NURSE PRACTITIONER

NPI #1407367543 in Stow, Ohio

Provider Information

NPI Number: 1407367543
Entity Type: Individual
Name: Cicely Nicole Johnson, NURSE PRACTITIONER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: NURSE PRACTITIONER
Enumeration Date: Oct 16, 2017
Last Updated: Oct 16, 2017

Practice Location

Address: 3700 ENGLEWOOD DR
City: Stow
State: Ohio
ZIP Code: 44224-3204
Phone: (330) 688-1828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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