IndividualActive
Antallia Johnson, CRNP
NPI 1710443767 · Obstetrics & Gynecology Nurse Practitioner · Boaz, AL
Provider details
- NPI number
- 1710443767
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-154179 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2505 US Hwy 431 Women'S Center Suite a
Boaz, AL 35957
Phone: (256) 840-4530
Fax: (256) 840-4537
Approximate (ZIP-level) locationGet directions
Mailing address
2505 US Hwy 431 Women'S Center Suite a
Boaz, AL 35957
Registry dates
- Enumerated
- 2019-02-14
- Last updated
- 2019-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.