Individual provider · Type 1 NPI
Tara Johnson
Family Nurse Practitioner · Birmingham, AL
NPI number
1174079602
Active
Practice location
241 Varden Hill Dr
Birmingham, AL 35214-1945
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 1-105506 (AL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174079602
Tara Johnson's National Provider Identifier is 1174079602, issued on Aug 25, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Birmingham, AL. The record was last updated on Aug 25, 2016.