Pamela Tate Johnson Valid NPI

Individual provider · Family Nurse Practitioner · Andalusia, AL

NPI

1679231955

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

1-070398 (AL)

Sex

Female

Sole proprietor

No

Enumerated

2021-12-03

Last updated

2021-12-03