Individual provider · Type 1 NPI

David Gardner Johnson

Nurse Practitioner · Rochester, NY

NPI number 1205301496 Active

Practice location

1425 Portland Ave
Rochester, NY 14621-3095

Fax (585) 922-3835

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X343646 (NY)

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 1205301496

David Gardner Johnson's National Provider Identifier is 1205301496, issued on Oct 4, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Rochester, NY. The record was last updated on Jan 23, 2023.