Kristy D. Johnson, NP-C
Nurse Practitioner, Family in Bono, AR. Individual provider (NPI-1).
NPI number1174874366
StatusActive
Last updated in NPPESSep 27, 2012
Details
- NPI
- 1174874366
- Entity type
- Individual (NPI-1)
- Name
- Kristy D. Johnson
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2012
- Last updated
- Sep 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | A003729 | AR | Yes |
Practice location
9146 Highway 63 NBono, AR 72416-8153
Phone 870-930-9990
Mailing address
9146 Highway 63 NBono, AR 72416-8153
Phone 870-930-9990
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