Individual provider · Type 1 NPI

Emily Anne Johnson, MSN, AGACNP-BC, CCRN

Nurse Practitioner · Boston, MA

NPI number 1669136768 Active

Practice location

55 Fruit St
Boston, MA 02114-2696

Mailing address

20 Loris Rd
Peabody, MA 01960-1611

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN2270464 (MA)
Critical Care Medicine Registered Nurse 163WC0200XRN2270464 (MA)

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 1669136768

Emily Anne Johnson, MSN, AGACNP-BC, CCRN's National Provider Identifier is 1669136768, issued on Oct 25, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jan 14, 2026.