Individual provider · Type 1 NPI
Amanda-Grace Johnson, DNP
Family Nurse Practitioner · Boulder City, NV
NPI number
1790385136
Active
Practice location
1297 Boulder City Pkwy Ste A
Boulder City, NV 89005-1854
Fax (702) 294-0072
Mailing address
6355 S Buffalo Dr Fl 3
Las Vegas, NV 89113-2133
Other practice locations
- 620 Shadow Ln, Las Vegas, NV 89106-4194 · (702) 388-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 816524 (NV) |
| Family Nurse Practitioner Primary | 363LF0000X | 816524 (NV) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1790385136
Amanda-Grace Johnson, DNP's National Provider Identifier is 1790385136, issued on Oct 26, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Boulder City, NV. The record was last updated on Oct 18, 2022.