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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATRAVIA JOHNSON, FNP

Active Sole Proprietor

LATRAVIA JOHNSON, FNP is a Advance Practice Midwife healthcare provider located in TINLEY PARK, Illinois. NPI 1295687663 is currently active in the NPPES registry. Verify at CMS.

Advance Practice Midwife · TINLEY PARK, IL

Registration Details

NPI Number
1295687663
Provider Type
Individual
Gender
Female
NPI Issued
Feb 10, 2026 (0.54522967965138 yrs)
Last Updated
Feb 10, 2026
License
0413737.21 (IL)
Sole Proprietor
Yes

Practice Information

Address
6749 PINE LAKE DR
TINLEY PARK, IL, 604774935
Browse IL providers · Browse ZIP 60477
Phone
7083819315
Primary Specialty
Advance Practice Midwife
163WA2000X
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.