Individual provider · Type 1 NPI

Dedrick Johnson

Adult Health Nurse Practitioner · Albuquerque, NM

NPI number 1326857012 Active

Practice location

6330 Riverside Plaza Ln NW Ste 100
Albuquerque, NM 87120-2682

Mailing address

PO Box 15442
Rio Rancho, NM 87174-0442

Other practice locations

  • 2211 Lomas Blvd NE, Albuquerque, NM 87106-2719 · (505) 272-2111

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X82229 (NM)
Adult Health Nurse Practitioner Primary 363LA2200X82229 (NM)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1326857012

Dedrick Johnson's National Provider Identifier is 1326857012, issued on Jan 6, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Albuquerque, NM. The record was last updated on Jun 8, 2026.