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Heidi Johnson, REGISTEREDNURSE
Psychiatric/Mental Health Registered Nurse in Peoria, Illinois
NPI 1861992851

Heidi Johnson is a Psychiatric/Mental Health Registered Nurse based in Galesburg, IL and is specialized in Psychiatric/Mental Health. Heidi Johnson practices in Peoria, IL and has the professional credentials of REGISTEREDNURSE. The NPI Number for Heidi Johnson is 1861992851 and holds a License No. 041414240 (Illinois).

The current practice location address for Heidi Johnson is 7717 N Orange Prairie Rd, Peoria, IL and can be reached out via phone at 309-589-6800.

Location: 7717 N Orange Prairie Rd, Peoria, IL, 61401-2724
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Provider Profile Details
NPI Number
1861992851
Provider Name
Heidi Johnson
Credential
REGISTEREDNURSE
Provider Entity Type
Individual
Gender
Female
Address
7717 N Orange Prairie Rd, Peoria, IL, 61401-2724
Phone Number
309-589-6800
Fax Number
Provider Enumeration Date
02/15/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041414240 01 IL ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
7717 N Orange Prairie Rd
City
State
Zip
61615-9323
Phone Number
309-589-6800
Fax Number
person
Provider Business Mailing Address Details
Address
7717 N Orange Prairie Rd
City
State
Zip
61615-9323
Phone Number
309-589-6800
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
041414240 (Illinois)
Definition
Definition to come...
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