Individual provider · Type 1 NPI
Brian D. Johnson, FNP-BC
Primary Care Nurse Practitioner · Dixon, IL
NPI number
1043585573
Active
Practice location
841 N Galena Ave, Suite 200
Dixon, IL 61021-1568
Fax (815) 285-2276
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | 209009443 (IL) |
| Emergency Medicine Physician | 207P00000X | A151173 (IA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 209009443 (IL) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1043585573
Brian D. Johnson, FNP-BC's National Provider Identifier is 1043585573, issued on Mar 16, 2012. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Dixon, IL. The record was last updated on Oct 20, 2018.