NPI 1093123069

Courtny Johnson

Practitioner Podiatrist Providence, RI

Practice location

Address: 825 Chalkstone Ave, Providence, RI 02908-4728
Phone: (401) 456-2000

Registered specialties

Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213E00000X Licence LPR00142 (RI)

Other Podiatrist providers in Rhode Island →

Registry record

NPI: 1093123069
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2014
Record last updated: 16 Dec 2021

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.