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NPI Profile for LATRAVIA JOHNSON in TINLEY PARK, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Administrator |
163WA2000X |
| NPI # | 1295687663 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 02/10/2026 | |
| Last updated | 02/10/2026 - About 4 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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LATRAVIA JOHNSON
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LATRAVIA JOHNSON, FNP