Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTALLIA SHAUNTELL JOHNSON, CRNP
ActiveANTALLIA SHAUNTELL JOHNSON, CRNP is a Obstetrics & Gynecology Nurse Practitioner healthcare provider located in BOAZ, Alabama. NPI 1710443767 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology Nurse Practitioner · BOAZ, AL
Registration Details
- NPI Number
- 1710443767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2019 (7.5314243636466 yrs)
- Last Updated
- Feb 14, 2019
- License
-
1-154179 (AL)
Practice Information
- Address
-
2505 US HWY 431 WOMEN'S CENTER SUITE ABOAZ, AL, 35957Browse AL providers · Browse ZIP 35957
- Phone
- 2568404530
- Fax
- 2568404537
- Primary Specialty
-
Obstetrics & Gynecology Nurse Practitioner
363LX0001X
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.