NPI 1063585958

Johnnie Faye Johnson, MEDICALASSISTANT

Practitioner Other Technician Collinsville, IL

Practice location

Address: 2007 Mapleleaf Dr, Collinsville, IL 62234-5224
Phone: (618) 344-3276

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 74613 16 RMA (IL)

Other Technician, Other providers in Illinois →

Registry record

NPI: 1063585958
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2006
Record last updated: 8 Jul 2007

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.