Individual provider · Type 1 NPI
Tracy Lynn Johnson, NP
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1518046002
Active
Practice location
6326 Constitution Dr
Fort Wayne, IN 46804-1518
Fax (888) 803-6843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71000592A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1518046002
Tracy Lynn Johnson, NP's National Provider Identifier is 1518046002, issued on Nov 3, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 29, 2025.