Individual provider · Type 1 NPI

Samuel Pennington Johnson, NP

Acute Care Nurse Practitioner · Idaho Falls, ID

NPI number 1639969637 Active

Practice location

3100 Channing Way
Idaho Falls, ID 83404-7533

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4471358 (ID)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1639969637

Samuel Pennington Johnson, NP's National Provider Identifier is 1639969637, issued on May 12, 2025. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Idaho Falls, ID. The record was last updated on May 12, 2025.