Heather Johnson
NPI #1841661287 in Mc Leansboro, Illinois
Provider Information
- NPI Number
- 1841661287
- Entity Type
- Individual
- Name
- Heather Johnson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Oct 12, 2015
- Last Updated
- Jan 4, 2017
Practice Location
- Address
- 611 S MARSHALL AVE
- City
- Mc Leansboro
- State
- Illinois
- ZIP Code
- 62859-1213
- Phone
- (618) 643-2361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Nurse Practitioner - Acute Care — Acute Care |
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