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Individual
MIKA LYNN JOHNSON
Active
Individual
MIKA LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FPA
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209015838
IL
363LA2100X
Acute Care Nurse Practitioner
277001258
IL
363LG0600X
Gerontology Nurse Practitioner
277001258
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277001258
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
377.001238
IL
Other
Enumeration date
08/21/2013
Last updated
09/14/2026
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