Individual provider · Type 1 NPI
Breanna Johnson
Nurse Practitioner · Mesa, AZ
Practice location
7227 E Baseline Rd Ste 126
Mesa, AZ 85209-5006
Fax (480) 834-3606
Mailing address
4222 E Brown Rd Unit 13
Mesa, AZ 85205-4056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 278280 (AZ) |
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 1760077093
Breanna Johnson's National Provider Identifier is 1760077093, issued on Mar 8, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mesa, AZ. The record was last updated on Oct 12, 2026.