Individual provider · Type 1 NPI

Makenzie Kaylin Johnson

Nurse Practitioner · Omaha, NE

NPI number 1376459875 Active

Practice location

7500 Mercy Rd
Omaha, NE 68124-2319

Mailing address

14640 Danvers St
Waverly, NE 68462-1532

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X128510 (NE)

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 1376459875

Makenzie Kaylin Johnson's National Provider Identifier is 1376459875, issued on Aug 24, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Omaha, NE. The record was last updated on Oct 14, 2026.