Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. LISA ANN JOHNSON, FNP
ActiveMRS. LISA ANN JOHNSON, FNP is a Primary Care Nurse Practitioner healthcare provider located in CORRALES, New Mexico. NPI 1396840211 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · CORRALES, NM
Registration Details
- NPI Number
- 1396840211
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 14, 2006 (19.870637097128 yrs)
- Last Updated
- Nov 24, 2019
- Licenses
-
368977-4405 (UT)54024 (NM)
Practice Information
- Address
-
4940 CORRALES RD STE 125CORRALES, NM, 870488682Browse NM providers · Browse ZIP 87048
- Phone
- 5054334446
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
- 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.