Most Relevant Information
Provider Data
| NPI Number: | 1003400698 |
| Provider Name: | CHRISTINA JOHNSON APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LW0102X |
| Specialty: | Nurse Practitioner |
| License Number: | 3015852 |
Most Important Dates
| Enumeration Date: | 02/24/2021 |
| Last Updated: | 03/14/2021 |
Provider Practice Location
3900 KRESGE WAY STE 30
LOUISVILLE
KY
402074680
Practice Location Phone/Fax
| Phone: | 5028918878 |
| Fax: | 5028918746 |
Provider Mailing Location
3900 KRESGE WAY STE 30
LOUISVILLE
KY
402074680
Provider Mailing Phone/Fax
| Phone: | 5028918878 |
| Fax: |