Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIKA LYNN JOHNSON, APRN, CNP
ActiveMIKA LYNN JOHNSON, APRN, CNP is a Gerontological Nurse Practitioner healthcare provider located in KEWANEE, Illinois. NPI 1063846467 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · KEWANEE, IL
Registration Details
- NPI Number
- 1063846467
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 21, 2013 (12.987901473308 yrs)
- Last Updated
- Aug 23, 2024
- Licenses
-
209015838 (IL)277001258 (IL)277001258 (IL)
Practice Information
- Address
-
1051 W SOUTH STKEWANEE, IL, 614438354Browse IL providers · Browse ZIP 61443
- Phone
- 8154542811
- Fax
- 8154542832
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Acute Care Nurse Practitioner
- Additional Specialty
- Gerontological 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.