Individual provider · Type 1 NPI

Mary E. Johnson, NP

Nurse Practitioner · Indianapolis, IN

NPI number 1467565176 Active

Practice location

8111 S Emerson Ave
Indianapolis, IN 46237-8601

Fax (317) 528-5026

Mailing address

PO Box 7112, Dept. #31
Indianapolis, IN 46207-7112

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71001218 (IN)

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 1467565176

Mary E. Johnson, NP's National Provider Identifier is 1467565176, issued on Aug 16, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Apr 1, 2021.