Individual provider · Type 1 NPI

Cynthia Terry Johnson, APRN, PNP-AC

Pediatric Nurse Practitioner · Provo, UT

NPI number 1891968004 Active

Practice location

500 Kmbl
Provo, UT 84602-4704

Call (801) 322-4227 Map

Mailing address

2325 E Bonair St
Salt Lake City, UT 84117-6216

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X4822498-4405 (UT)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1891968004

Cynthia Terry Johnson, APRN, PNP-AC's National Provider Identifier is 1891968004, issued on Apr 9, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Provo, UT. The record was last updated on Oct 9, 2026.