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ETHAN JOHNSON
Family Nurse Practitioner
NPI: 1336973767IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
4024171(KY)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2024
Contact & Hours
- Address
- 3900 KRESGE WAY STE 60
LOUISVILLE, KY 40207 - Phone
- (502) 897-8008
Quick Facts
- NPI
- 1336973767
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 2
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