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Amy Grace Johnson, MD
Student in an Organized Health Care Education/Training Program in Muncie, Indiana
NPI 1831695717

Amy Grace Johnson is a Student in an Organized Health Care Education/Training Program based in Muncie, IN. Amy Grace Johnson practices in Muncie, IN and has the professional credentials of MD. The NPI Number for Amy Grace Johnson is 1831695717 and holds a License No. 35.138097 (Indiana).

The current practice location address for Amy Grace Johnson is 2401 W University Ave, Muncie, IN and can be reached out via phone at 765-741-1095. You can also correspond with Amy Grace Johnson through the mailing address at 2401 W UNIVERSITY AVE, MUNCIE, IN - 47303-3428 (mailing address contact number: 765-741-1095).

Location: 2401 W University Ave, Muncie, IN, 47303-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831695717
Provider Name
Amy Grace Johnson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2401 W University Ave, Muncie, IN, 47303-3428
Phone Number
765-741-1095
Fax Number
Provider Enumeration Date
04/01/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2401 W University Ave
City
Muncie
State
Indiana
Zip
47303-3428
Phone Number
765-741-1095
Fax Number
person
Provider Business Mailing Address Details
Address
2401 W University Ave
City
Muncie
State
Indiana
Zip
47303-3428
Phone Number
765-741-1095
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
35.138097 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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