Individual provider · Type 1 NPI
Nicholas Johnson, APN
Gerontology Nurse Practitioner · Chicago, IL
NPI number
1316553472
Active
Practice location
8455 S Luella Ave
Chicago, IL 60617-1953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209021402 (IL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1316553472
Nicholas Johnson, APN's National Provider Identifier is 1316553472, issued on Sep 23, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on Sep 23, 2020.