Individual provider · Type 1 NPI

Nickey Joe Johnson Jr., APRN, NP-C

Nurse Practitioner · Murray, KY

NPI number 1154097046 Active

Practice location

300 S 8th St Ste 100W
Murray, KY 42071-2446

Call (270) 762-1547 Map

Fax (270) 752-2854

Mailing address

300 S 8th St Ste 480W
Murray, KY 42071-2403

Other practice locations

803 Poplar St, Murray, KY 42071-2432 · (270) 762-1100
300 S 8th St Ste 401E, Murray, KY 42071-2444 · (270) 753-2444

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	3016469 (KY)

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 1154097046

Nickey Joe Johnson Jr., APRN, NP-C's National Provider Identifier is 1154097046, issued on Aug 19, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Murray, KY. The record was last updated on Aug 18, 2023.