Individual provider · Type 1 NPI
Lisa Johnson
Pediatric Nurse Practitioner · Boston, MA
NPI number
1972330496
Active
Practice location
300 Longwood Ave
Boston, MA 02115-5724
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN2318223 (MA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1972330496
Lisa Johnson's National Provider Identifier is 1972330496, issued on Sep 18, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Oct 22, 2024.