NPI 1023348430

Laura Lynn Johnson, FNP

Practitioner Family Nurse Practitioner Grants Pass, OR

Practice location

Address: 1619 NW Hawthorne Ave STE 204, Grants Pass, OR 97526
Phone: (541) 916-8530
Fax: (541) 916-8533
Mailing address: PO Box 550, Eagle Point, OR 97524-0550

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 201050002NP (OR)

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Registry record

NPI: 1023348430
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Jan 2010
Record last updated: 3 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.