Individual provider · Type 1 NPI
Telisha Johnson, APRN
Family Nurse Practitioner · Upper Marlboro, MD
NPI number
1770066086
Active
Practice location
7600 SE Crain Hwy
Upper Marlboro, MD 20772-4232
Mailing address
2001 Butterfield Rd, Ste 300
Downers Grove, IL 60515-1069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AC002448 (MD) |
Family Nurse Practitioner: Definition to come...
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About NPI 1770066086
Telisha Johnson, APRN's National Provider Identifier is 1770066086, issued on Sep 12, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Upper Marlboro, MD. The record was last updated on Jul 10, 2019.