Individual provider · Type 1 NPI
Shavaun Johnson, NP
Psychiatric/Mental Health Nurse Practitioner · Queen Creek, AZ
NPI number
1225624729
Active
Practice location
21168 E Ocotillo Rd # 1045
Queen Creek, AZ 85142-8175
Fax (866) 491-7389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2024022030 (MO) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 251493 (AZ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1225624729
Shavaun Johnson, NP's National Provider Identifier is 1225624729, issued on Dec 18, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Queen Creek, AZ. The record was last updated on Dec 28, 2025.