Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE JOHNSON
Active Sole ProprietorNICOLE JOHNSON is a Adult Companion healthcare provider located in MESA, Arizona. NPI 1457096885 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · MESA, AZ
Registration Details
- NPI Number
- 1457096885
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 29, 2022 (4.3324959526762 yrs)
- Last Updated
- Feb 5, 2024
- License
-
LIC23-07617 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4225 E UNIVERSITY DR APT 128MESA, AZ, 852057092Browse AZ providers · Browse ZIP 85205
- Phone
- 7193215099
- Primary Specialty
-
Adult Companion
372600000X
- Additional Specialty
- Adult Companion
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.