Individual provider · Type 1 NPI
Sundra Renee Johnson
Military Health Care Provider · Tuscaloosa, AL
NPI number
1306005087
Active
Practice location
1414 26th St, 1414 26th Street
Tuscaloosa, AL 35401-6642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 102375 (AL) |
| Community Health Worker | 172V00000X | None listed |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
About NPI 1306005087
Sundra Renee Johnson's National Provider Identifier is 1306005087, issued on Jun 6, 2008. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jun 6, 2008.