Provider Demographics
NPI:1134685209
Name:JOHNSON, CAMIKA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:CAMIKA
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 HOSPITAL DR STE 1
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:AR
Mailing Address - Zip Code:71701-4652
Mailing Address - Country:US
Mailing Address - Phone:870-836-5738
Mailing Address - Fax:870-836-5978
Practice Address - Street 1:476 HOSPITAL DR STE 1
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:AR
Practice Address - Zip Code:71701-4652
Practice Address - Country:US
Practice Address - Phone:870-836-5738
Practice Address - Fax:870-836-5978
Is Sole Proprietor?:No
Enumeration Date:2019-02-14
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA006103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily