Individual provider · Type 1 NPI

Kelly Johnson

Nurse Practitioner · Longview, WA

NPI number 1013254259 Active

Practice location

1230 7th Ave
Longview, WA 98632-3198

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2099

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP70027451 (WA)

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 1013254259

Kelly Johnson's National Provider Identifier is 1013254259, issued on Jan 8, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Longview, WA. The record was last updated on Jun 10, 2026.