# KRISTEN AILI JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1629679782
- **Gender:** F
- **Credential:** PMHNP-BC, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | F102001180 | TX | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R53273 | ND | Yes |

## Other

- **Enumeration date:** 11/05/2020
- **Last updated:** 04/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 15154247 | CAQH | — |
| 05 | — | 1733819 | — | AK |
| 01 | — | Q00086344 | RR PTAN | — |