Individual provider · Type 1 NPI

Thomas Johnson Iii, APRN, CNP

Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MN

NPI number 1609051168 Active

Practice location

2310 NW 3rd St
Grand Rapids, MN 55744-2135

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR 179591-6 (MN)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X2950 (MN)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609051168

Thomas Johnson Iii, APRN, CNP's National Provider Identifier is 1609051168, issued on Jan 3, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MN. The record was last updated on Jul 29, 2026.