Corey Amber Johnson

Athletic Trainer · Conway, AR

Individual Active NPI

NPI number 1184350902

Practice location

1600 Washington Ave
Conway, AR 72032-4115
Phone
(318) 525-7936

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NPI record

NPI
1184350902
Entity type
Individual (Type 1)
Enumeration date
July 25, 2022
Last updated
July 25, 2022
Certified
July 25, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X AT991 AR

Mailing address

6 Reliance Ct
Mayflower, AR 72106-9455

About Corey Johnson

Corey Amber Johnson is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 1600 Washington Ave, Conway, AR 72032-4115. The NPI number 1184350902 was assigned on July 25, 2022 and the record was last updated on July 25, 2022.

Corey Johnson lists a license in the registry: #AT991 (AR) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Corey Amber Johnson?

The NPI number is 1184350902.

What is the phone number of Corey Johnson?

The phone number listed for the practice location is (318) 525-7936.

Where is Corey Johnson located?

1600 Washington Ave, Conway, AR 72032-4115.

What is the taxonomy code for Corey Johnson?

The primary taxonomy code is 2255A2300X – Athletic Trainer.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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