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NATALIE NICOLE JOHNSON- LYKES APRN
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1154803609
Individual Registrant: NATALIE NICOLE JOHNSON- LYKES APRN
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
379 AL- 239 CLAYTON, AL 36016 US
Tel: 334-775-3610 Fax: --
Tel: 334-775-3610 Fax: --
Contact information for business:
6600 KITTEN LAKE DR APT 1102 MIDLAND, GA 31820-3784 US
Tel: 225-284-6677 Fax: --
Tel: 225-284-6677 Fax: --
Registration Information:
NPI: 1154803609
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | GA | RN221731 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AL | 1-133314 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
