Individual provider · Type 1 NPI

Nicolette Michele Johnson, MD, PhD

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1346095486 Active

Practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Call (215) 349-5200 Map

Fax (215) 615-3997

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346095486

Nicolette Michele Johnson, MD, PhD's National Provider Identifier is 1346095486, issued on Apr 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 22, 2024.