Carie Lynn Johnson, APRN, NP-C
Nurse Practitioner, Family in Waverly, OH. Individual provider (NPI-1).
NPI number1003351024
StatusActive
Last updated in NPPESDec 29, 2020
Details
- NPI
- 1003351024
- Entity type
- Individual (NPI-1)
- Name
- Carie Lynn Johnson
- Credential
- APRN, NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 29, 2016
- Certification date
- Dec 29, 2020
- Last updated
- Dec 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN.CNP.020386 | OH | Yes |
| 163W00000X | Registered Nurse | RN.360187 | OH |
Practice location
12340 State Route 104Waverly, OH 45690-8968
Phone 740-941-5180 · Fax 740-941-5178
Mailing address
12340 State Route 104Waverly, OH 45690-8968
Phone 740-941-5180 · Fax 740-941-5178
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