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Michelle D Johnson, APN
Nurse Practitioner in Peoria, Illinois
NPI 1790186070

Michelle D Johnson is a Nurse Practitioner based in Peoria, IL. Michelle D Johnson practices in Peoria, IL and has the professional credentials of APN. The NPI Number for Michelle D Johnson is 1790186070 and holds a License No. 209011812 (Illinois).

The current practice location address for Michelle D Johnson is 8940 N Wood Sage Rd, Peoria, IL and can be reached out via phone at 309-243-3000 and via fax at 309-243-3274.

Location: 8940 N Wood Sage Rd, Peoria, IL, 61615-7822
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790186070
Provider Name
Michelle D Johnson
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
8940 N Wood Sage Rd, Peoria, IL, 61615-7822
Phone Number
309-243-3000
Fax Number
309-243-3274
Provider Enumeration Date
09/05/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.011812 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
8940 N Wood Sage Rd
City
Peoria
State
Illinois
Zip
61615-7822
Phone Number
309-243-3000
Fax Number
309-243-3274
person
Provider Business Mailing Address Details
Address
8940 N Wood Sage Rd
City
Peoria
State
Illinois
Zip
61615-7822
Phone Number
309-243-3000
Fax Number
309-243-3274
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209011812 (Illinois)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
209011812 (Illinois)
Definition
Definition to come...
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