Individual provider · Type 1 NPI
Mary Christine Johansen, APRN, CNP
Nurse Practitioner · Mchenry, IL
Practice location
4309 W Medical Center Dr Ste A200
Mchenry, IL 60050-8437
Fax (815) 759-4931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209020914 (IL) |
| Adult Health Nurse Practitioner | 363LA2200X | 209020614 (IL) |
| Family Nurse Practitioner | 363LF0000X | 209.020914 (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 1689208928
Mary Christine Johansen, APRN, CNP's National Provider Identifier is 1689208928, issued on Feb 25, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mchenry, IL. The record was last updated on Feb 17, 2026.