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Kelly Marie Johnson, FNP-C
Family Nurse Practitioner in Northbrook, Illinois
NPI 1083196554

Kelly Marie Johnson is a Family Nurse Practitioner based in Northbrook, IL and is specialized in Family. Kelly Marie Johnson practices in Northbrook, IL and has the professional credentials of FNP-C. The NPI Number for Kelly Marie Johnson is 1083196554 and holds a License No. 209.017943 (Illinois).

The current practice location address for Kelly Marie Johnson is 40 Skokie Blvd, Northbrook, IL and can be reached out via phone at 847-291-3999.

Location: 40 Skokie Blvd, Northbrook, IL, 60062-1617
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083196554
Provider Name
Kelly Marie Johnson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
40 Skokie Blvd, Northbrook, IL, 60062-1617
Phone Number
847-291-3999
Fax Number
Provider Enumeration Date
08/31/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
40 Skokie Blvd
City
Northbrook
State
Illinois
Zip
60062-1601
Phone Number
847-291-3999
Fax Number
person
Provider Business Mailing Address Details
Address
40 Skokie Blvd
City
Northbrook
State
Illinois
Zip
60062-1601
Phone Number
847-291-3999
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.017943 (Illinois)
Definition
Definition to come...
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