Individual provider · Type 1 NPI

Ethan Johnson

Family Nurse Practitioner · Louisville, KY

NPI number 1336973767 Active

Practice location

3900 Kresge Way Ste 60
Louisville, KY 40207-4690

Mailing address

3900 Kresge Way
Louisville, KY 40207-4660

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4024171 (KY)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

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About NPI 1336973767

Ethan Johnson's National Provider Identifier is 1336973767, issued on Aug 28, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Louisville, KY. The record was last updated on Aug 28, 2024.