Individual provider · Type 1 NPI

Amanda Grace Johnson

Student in an Organized Health Care Education/Training Program · Quincy, MA

NPI number 1376289793 Active

Practice location

460 Quincy Ave
Quincy, MA 02169-8130

Mailing address

500 Victory Rd
Quincy, MA 02171-3139

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 1376289793

Amanda Grace Johnson's National Provider Identifier is 1376289793, issued on May 9, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Quincy, MA. The record was last updated on May 9, 2022.