NPI 1316581770
Johannah Logan Wickham
Practice location
- Address
- 406a Ash St, Lowell, AR 72745-9629
- Phone
- (479) 879-4241
- Mailing address
- 406 Ash St # a, Lowell, AR 72745-9629
Registered specialties
Doula
Primary
Registry record
- NPI
- 1316581770
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Oct 2019
- Record last updated
- 29 Oct 2019
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.