person
Mrs. Aretha Diane Johnson, FNP
Family Nurse Practitioner in Peoria, Illinois
NPI 1457798332

Aretha Diane Johnson is a Family Nurse Practitioner based in Peoria, IL and is specialized in Family. Aretha Diane Johnson practices in Peoria, IL and has the professional credentials of FNP. The NPI Number for Aretha Diane Johnson is 1457798332 and holds a License No. 209010440 (Illinois).

The current practice location address for Aretha Diane Johnson is 2321 N Wisconsin Avenue, Peoria, IL and can be reached out via phone at 309-680-7600 and via fax at 309-680-7637.

Location: 2321 N Wisconsin Avenue, Peoria, IL, 61605
person
Provider Profile Details
NPI Number
1457798332
Provider Name
Aretha Diane Johnson
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2321 N Wisconsin Avenue, Peoria, IL, 61605
Phone Number
309-680-7600
Fax Number
309-680-7637
Provider Enumeration Date
05/31/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2321 N Wisconsin Avenue
City
State
Zip
61603
Phone Number
309-680-7600
Fax Number
309-680-7637
person
Provider Business Mailing Address Details
Address
2321 N Wisconsin Avenue
City
State
Zip
61603
Phone Number
309-680-7600
Fax Number
309-680-7637
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209010440 (Illinois)
Definition
Definition to come...
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