Individual provider · Type 1 NPI
Peter Johnson
Nurse Practitioner · Boston, MA
Practice location
1340 Boylston St
Boston, MA 02215-4302
Mailing address
124 Ocean Ave Apt 307
Salem, MA 01970-2990
Other practice locations
- 269 Union St, Lynn, MA 01901-1314 · (781) 596-2502
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN2354716 (MA) |
| Nurse Practitioner Primary | 363L00000X | RN2354716 (MA) |
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 1063277465
Peter Johnson's National Provider Identifier is 1063277465, issued on Feb 15, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jul 27, 2026.