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

SAMUEL PENNINGTON JOHNSON, NP

Active

SAMUEL PENNINGTON JOHNSON, NP is a Acute Care Nurse Practitioner healthcare provider located in IDAHO FALLS, Idaho. NPI 1639969637 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · IDAHO FALLS, ID

Registration Details

NPI Number
1639969637
Provider Type
Individual
Gender
Male
NPI Issued
May 12, 2025 (1.2199888265499 yrs)
Last Updated
May 12, 2025
License
4471358 (ID)

Practice Information

Address
3100 CHANNING WAY
IDAHO FALLS, ID, 834047533
Browse ID providers · Browse ZIP 83404
Phone
8014991889
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X

Other Acute Care Nurse Practitioner Providers in IDAHO FALLS, ID

Name Credential NPI
WENDY SWOPE ACNPC 1962522409
TAYLOR EMERY AGACNP-BC 1750969770
MARK ALAN ELLETT AGACNP 1295402089
ROBERTA J. BOSTIAN AGACNP 1972275501
LAXMI BHATTARI 1366327348
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.