Individual provider · Type 1 NPI
Antallia Shauntell Johnson, CRNP
Obstetrics & Gynecology Nurse Practitioner · Boaz, AL
NPI number
1710443767
Active
Practice location
2505 US Hwy 431 Women's Center Suite A
Boaz, AL 35957
Fax (256) 840-4537
Other practice locations
- 4360 Main St, Pinson, AL 35126-3290 · (205) 608-9013
- 2006 Brookwood Medical Ctr Dr Ste 600, Birmingham, AL 35209-6885 · (205) 397-1286
- 48 Medical Park Dr E Ste 355, Birmingham, AL 35235-3470 · (205) 877-2121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | 1-154179 (AL) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
About NPI 1710443767
Antallia Shauntell Johnson, CRNP's National Provider Identifier is 1710443767, issued on Feb 14, 2019. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Boaz, AL. The record was last updated on Jul 30, 2026.