Individual provider · Type 1 NPI

Carol M. Johnson, NP

Nurse Practitioner · Bronx, NY

NPI number 1013118223 Active

Practice location

545 E 142nd St
Bronx, NY 10454-2110

Mailing address

17505 139th Rd
Jamaica, NY 11434-4535

Other practice locations

  • 18716 Hillside Ave, Jamaica, NY 11432-3216 · (718) 206-1288

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XF332519 (NY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013118223

Carol M. Johnson, NP's National Provider Identifier is 1013118223, issued on May 29, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bronx, NY. The record was last updated on Dec 6, 2024.