Individual provider · Type 1 NPI

Kimberly Diana Johnson, N.P.

Nurse Practitioner · Indianapolis, IN

NPI number 1861891616 Active

Practice location

1402 E County Line Rd, Suite 2400
Indianapolis, IN 46227-0963

Mailing address

6626 E 75th Street, Suite 500
Indianapolis, IN 46250-2890

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71005062A (IN)

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 1861891616

Kimberly Diana Johnson, N.P.'s National Provider Identifier is 1861891616, issued on Aug 18, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Indianapolis, IN. The record was last updated on Oct 4, 2021.