person
Tawanda Johnson, FNP-BC
Family Nurse Practitioner in Chicago, Illinois
NPI 1871923771

Tawanda Johnson is a Family Nurse Practitioner based in Greenville, IL and is specialized in Family. Tawanda Johnson practices in Chicago, IL and has the professional credentials of FNP-BC. The NPI Number for Tawanda Johnson is 1871923771 and holds a License No. R864204 (Illinois).

The current practice location address for Tawanda Johnson is 15055 Collection Center Dr, Chicago, IL and can be reached out via phone at 256-383-3325 and via fax at 256-383-5911.

Location: 15055 Collection Center Dr, Chicago, IL, 38703-3248
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Provider Profile Details
NPI Number
1871923771
Provider Name
Tawanda Johnson
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
15055 Collection Center Dr, Chicago, IL, 38703-3248
Phone Number
256-383-3325
Fax Number
256-383-5911
Provider Enumeration Date
11/14/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02602740 05 MS
institution
Provider Business Practice Location Address Details
Address
15055 Collection Center Dr
City
State
Zip
60693-0150
Phone Number
256-383-3325
Fax Number
256-383-5911
person
Provider Business Mailing Address Details
Address
15055 Collection Center Dr
City
State
Zip
60693-0150
Phone Number
256-383-3325
Fax Number
256-383-5911
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R864204 (Mississippi)
Definition
Definition to come...
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