MRS. WENDI LYNN JOHNSON APN-FNP NPI 1730432071

NPI Information

NPI: 1730432071
Provider Name: MRS. WENDI LYNN JOHNSON, APN-FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2601 W MAIN ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 549-5361
Get Directions

MRS. Wendi Lynn Johnson, APN-FNP is a family nurse practitioner in Carbondale, IL. MRS. Wendi Lynn Johnson, APN-FNP NPI is 1730432071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2601 W MAIN ST
CARBONDALE, IL
ZIP 62901-031
Phone: (618) 549-5361
Fax: (618) 549-5128

The enumeration date for this NPI number is 10/24/2012 and was last updated on 9/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	209.009855	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	214881	MEDICARE OSCAR/CERTIFICATION	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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