Individual provider · Type 1 NPI
Stephanie Krystie Johnson, AGNP
Nurse Practitioner · Indianapolis, IN
Practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Other practice locations
- 8820 Columbia 100 Pkwy Ste 430, Columbia, MD 21045-2175 · (317) 701-2379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71014713A (IN) |
| Gerontology Nurse Practitioner | 363LG0600X | 28225777A (IN) |
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 1043085145
Stephanie Krystie Johnson, AGNP's National Provider Identifier is 1043085145, issued on Nov 17, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 16, 2026.