Individual provider · Type 1 NPI
Katelyn M. Johnson, APN, CNP
Nurse Practitioner · Peoria, IL
Practice location
200 E Pennsylvania Ave
Peoria, IL 61603-3089
Fax (309) 624-4010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209018151 (IL) |
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 1174093009
Katelyn M. Johnson, APN, CNP's National Provider Identifier is 1174093009, issued on Dec 4, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Dec 4, 2018.