person
Andrea Marie Johnson, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Centralia, Illinois
NPI 1316610256

Andrea Marie Johnson is a Psychiatric/Mental Health Nurse Practitioner based in Centralia, IL and is specialized in Psychiatric/Mental Health. Andrea Marie Johnson practices in Centralia, IL and has the professional credentials of PMHNP. The NPI Number for Andrea Marie Johnson is 1316610256 and holds a License No. 209.023676 (Illinois).

The current practice location address for Andrea Marie Johnson is 444 N Pleasant Ave, Centralia, IL and can be reached out via phone at 618-436-5665 and via fax at 618-436-8042.

Location: 444 N Pleasant Ave, Centralia, IL, 62801-5913
person
Provider Profile Details
NPI Number
1316610256
Provider Name
Andrea Marie Johnson
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
444 N Pleasant Ave, Centralia, IL, 62801-5913
Phone Number
618-436-5665
Fax Number
618-436-8042
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
444 N Pleasant Ave
City
State
Zip
62801-3006
Phone Number
618-436-5665
Fax Number
618-436-8042
person
Provider Business Mailing Address Details
Address
444 N Pleasant Ave
City
State
Zip
62801-3006
Phone Number
618-436-5665
Fax Number
618-436-8042
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209.023676 (Illinois)
Definition
Definition to come...
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