Individual provider · Type 1 NPI

Lisa A. Johnson, CNP

Nurse Practitioner · Charleston, WV

NPI number 1861629040 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Mailing address

501 Morris St
Charleston, WV 25301-1326

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Clinical Nurse Specialist 364SM0705X48703 (WV)
Nurse Practitioner Primary 363L00000XAPRN48703 (WV)

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 1861629040

Lisa A. Johnson, CNP's National Provider Identifier is 1861629040, issued on Jun 16, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charleston, WV. The record was last updated on Jul 6, 2023.