Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN D JOHNSON, FNP-BC
ActiveBRIAN D JOHNSON, FNP-BC is a Primary Care Nurse Practitioner healthcare provider located in DIXON, Illinois. NPI 1043585573 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · DIXON, IL
Registration Details
- NPI Number
- 1043585573
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 16, 2012 (14.417966439565 yrs)
- Last Updated
- Oct 20, 2018
- Licenses
-
209009443 (IL)A151173 (IA)209009443 (IL)
Practice Information
- Address
-
841 N GALENA AVESUITE 200DIXON, IL, 610211568Browse IL providers · Browse ZIP 61021
- Phone
- 8152852273
- Fax
- 8152852276
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- Additional Specialty
- Emergency Medicine
- Additional Specialty
- Primary Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.