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NATALIE NICOLE JOHNSON- LYKES APRN

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1154803609

Individual Registrant:
 NATALIE NICOLE JOHNSON- LYKES APRN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
379 AL- 239  CLAYTON, AL 36016 US
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: --

Registration Information:
NPI: 1154803609
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN221731
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1-133314

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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