SearchArkansas374U00000X

Elmer Johnson

NPI 1225728629 · on the registry since 2023

Practice

Address
204 N Trotter St
Dermott, AR 71638
Phone
(870) 308-3778
Organisation at this address
Saving Grace Healthcare
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas