IndividualActive
Heather Johnson
NPI 1629802319 · Pediatric Registered Nurse · Cabot, AR
Provider details
- NPI number
- 1629802319
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R78242 (AR)
Specialties & taxonomies
Nursing Service Providers
Practice location
207 Plaza Blvd
Cabot, AR 72023-3749
Phone: (501) 628-5580
Fax: (501) 628-5583
Approximate (ZIP-level) locationGet directions
Mailing address
207 Plaza Blvd
Cabot, AR 72023-3749
Registry dates
- Enumerated
- 2024-08-27
- Last updated
- 2024-08-27
- Certified
- 2024-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.