Individual provider · Type 1 NPI

Sunny Marie Johnson, FNP-BC

Urology Physician · Elkhart, IN

NPI number 1114564762 Active

Practice location

1506 Osolo Road, Ste A
Elkhart, IN 46514-4122

Fax (574) 524-8211

Mailing address

3245 Health Dr., Ste 100
Granger, IN 46530-1380

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X2019034656 (IN)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

4 other providers at this address

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About NPI 1114564762

Sunny Marie Johnson, FNP-BC's National Provider Identifier is 1114564762, issued on Dec 3, 2019. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Elkhart, IN. The record was last updated on Feb 17, 2026.