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Amy L Kindred Johnson, CPNP-PC
Pediatric Nurse Practitioner in Springfield, Illinois
NPI 1407055353

Amy L Kindred Johnson is a Pediatric Nurse Practitioner based in Springfield, IL and is specialized in Pediatrics. Amy L Kindred Johnson practices in Springfield, IL and has the professional credentials of CPNP-PC. The NPI Number for Amy L Kindred Johnson is 1407055353 and holds a License No. 209-003537 (Illinois).

The current practice location address for Amy L Kindred Johnson is 415 N 9Th St, Springfield, IL and can be reached out via phone at 217-545-8000 and via fax at 217-757-6844.

Location: 415 N 9Th St, Springfield, IL, 62702-5131
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Provider Profile Details
NPI Number
1407055353
Provider Name
Amy L Kindred Johnson
Credential
CPNP-PC
Provider Entity Type
Individual
Gender
Female
Address
415 N 9Th St, Springfield, IL, 62702-5131
Phone Number
217-545-8000
Fax Number
217-757-6844
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209-003537 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
415 N 9Th St
City
State
Zip
62702-5303
Phone Number
217-545-8000
Fax Number
217-757-6844
person
Provider Business Mailing Address Details
Address
415 N 9Th St
City
State
Zip
62702-5303
Phone Number
217-545-8000
Fax Number
217-757-6844
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
209-003537 (Illinois)
Definition
Definition to come...
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