Individual provider · Type 1 NPI
Kimberly Sue Johnson, CRNP
Gerontology Nurse Practitioner · Decatur, AL
NPI number
1598280984
Active
Practice location
2828 Highway 31 S Ste 104
Decatur, AL 35603-1538
Fax (256) 686-1250
Mailing address
PO Box 3017
Decatur, AL 35602-3017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 1-129644 (AL) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1598280984
Kimberly Sue Johnson, CRNP's National Provider Identifier is 1598280984, issued on Aug 7, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Decatur, AL. The record was last updated on May 11, 2026.