Individual provider · Type 1 NPI
Maddie R. Johnson, NP
Nurse Practitioner · Urbana, IL
Practice location
509 W University Ave
Urbana, IL 61801-1645
Fax (217) 383-3466
Mailing address
611 W Park St
Urbana, IL 61801-2529
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209018800 (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 1285287789
Maddie R. Johnson, NP's National Provider Identifier is 1285287789, issued on Jul 23, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Urbana, IL. The record was last updated on Jul 23, 2019.