Individual provider · Type 1 NPI

Teresa Johnson, APRN

Nurse Practitioner · Carterville, IL

NPI number 1639690191 Active

Practice location

1006 S Division St
Carterville, IL 62918-1539

Fax (618) 985-3774

Mailing address

109 California St, PO Box 577
Carterville, IL 62918-0577

Other practice locations

  • 7 S Hospital Dr, Murphysboro, IL 62966-3333 · (161) 851-9920

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209014846 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209.014846 (IL)

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 1639690191

Teresa Johnson, APRN's National Provider Identifier is 1639690191, issued on Jul 5, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Carterville, IL. The record was last updated on Jan 14, 2026.