Kelly Marie Johnson, FNP-C
Nurse Practitioner, Family in Northbrook, IL. Individual provider (NPI-1).
NPI number1083196554
StatusActive
Last updated in NPPESFeb 22, 2024
Details
- NPI
- 1083196554
- Entity type
- Individual (NPI-1)
- Name
- Kelly Marie Johnson
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2018
- Certification date
- Feb 22, 2024
- Last updated
- Feb 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209.017943 | IL | Yes |
Practice location
40 Skokie BlvdNorthbrook, IL 60062-1601
Phone 847-291-3999
Mailing address
40 Skokie Blvd Ste 550Northbrook, IL 60062-1617
Phone 312-440-3810
Other practice locations
737 N Michigan Ave Ste 600
Chicago, IL 60611-6662
Chicago, IL 60611-6662
Phone 312-440-3810
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All 25 Family Nurse Practitioner providers in Northbrook · All 2,895 providers in Northbrook
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