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Nichole Lashawn Johnson

Case Manager/Care Coordinator in Bowie, MD. Individual provider (NPI-1).

NPI number1275212979
StatusActive
Last updated in NPPESJul 12, 2023

Details

NPI
1275212979
Entity type
Individual (NPI-1)
Name
Nichole Lashawn Johnson
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 12, 2023
Certification date
Jul 12, 2023
Last updated
Jul 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
171M00000X Case Manager/Care Coordinator–DC

Practice location

1319 Patriot Ln
Bowie, MD 20716-1871

Phone 240-695-6494

Mailing address

1319 Patriot Ln
Bowie, MD 20716-1871

Phone 240-695-6494

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