Individual provider · Type 1 NPI

Simeon Shirell Johnson, APRN

Family Nurse Practitioner · Peoria, IL

NPI number 1639940059 Active

Practice location

8940 N Wood Sage Rd
Peoria, IL 61615-7822

Fax (309) 243-3040

Other practice locations

  • 3105 Magory Dr, Bloomington, IL 61704-5403 · (309) 243-3000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209028676 (IL)

Family Nurse Practitioner: Definition to come...

89 other providers at this address

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About NPI 1639940059

Simeon Shirell Johnson, APRN's National Provider Identifier is 1639940059, issued on Jan 15, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Peoria, IL. The record was last updated on Jul 20, 2026.