person
Nicole R Johnson, APN
Family Nurse Practitioner in Springfield, Illinois
NPI 1275041097

Nicole R Johnson is a Family Nurse Practitioner based in Springfield, IL and is specialized in Family. Nicole R Johnson practices in Springfield, IL and has the professional credentials of APN. The NPI Number for Nicole R Johnson is 1275041097 and holds a License No. 209017282 (Illinois).

The current practice location address for Nicole R Johnson is 3132 Old Jacksonville Rd, Springfield, IL and can be reached out via phone at 217-862-0800 and via fax at 217-862-0871.

Location: 3132 Old Jacksonville Rd, Springfield, IL, 62704-7400
person
Provider Profile Details
NPI Number
1275041097
Provider Name
Nicole R Johnson
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
3132 Old Jacksonville Rd, Springfield, IL, 62704-7400
Phone Number
217-862-0800
Fax Number
217-862-0871
Provider Enumeration Date
01/15/2018
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041449874 01 IL RN LICENSE
institution
Provider Business Practice Location Address Details
Address
3132 Old Jacksonville Rd
City
State
Zip
62704-7400
Phone Number
217-862-0800
Fax Number
217-862-0871
person
Provider Business Mailing Address Details
Address
3132 Old Jacksonville Rd
City
State
Zip
62704-7400
Phone Number
217-862-0800
Fax Number
217-862-0871
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209017282 (Illinois)
Definition
Definition to come...
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