Individual provider · Type 1 NPI

Olivia Nicole Johnson, BSN, RN

Nurse Practitioner · Douglas, AZ

NPI number 1992473748 Active

Practice location

1100 N F Ave
Douglas, AZ 85607-1919

Fax (520) 364-3378

Mailing address

1205 N F Ave
Douglas, AZ 85607-1920

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X231513 (AZ)
Registered Nurse 163W00000X231513 (AZ)
Registered Nurse 163W00000X95256334 (CA)

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…

12 other providers at this address

About NPI 1992473748

Olivia Nicole Johnson, BSN, RN's National Provider Identifier is 1992473748, issued on Sep 4, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Douglas, AZ. The record was last updated on Jan 22, 2026.