Stephanie Krystie Johnson, AGNP
Nurse Practitioner in Indianapolis, IN. Individual provider (NPI-1).
NPI number1043085145
StatusActive
Last updated in NPPESMar 16, 2026
Details
- NPI
- 1043085145
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Krystie Johnson
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 17, 2023
- Certification date
- Mar 16, 2026
- Last updated
- Mar 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71014713A | IN | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 28225777A | IN |
Practice location
720 Eskenazi AveIndianapolis, IN 46202-5187
Phone 317-880-7666
Mailing address
Po Box 637764Cincinnati, OH 45263-7764
Phone 317-880-3939
Other practice locations
8820 Columbia 100 Pkwy Ste 430
Columbia, MD 21045-2175
Columbia, MD 21045-2175
Phone 317-701-2379 · Fax 844-306-1455
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