# MARY JOHNSON

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

## Provider details

- **NPI number:** 1841861168
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 0024194096 | VA | — |
| 363LA2200X | Adult Health Nurse Practitioner | 310464 | NY | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 4704439802 | MI | — |
| 363LA2200X | Adult Health Nurse Practitioner | NP500225972 | DC | — |
| 363LA2200X | Adult Health Nurse Practitioner | R275385 | MD | — |
| 363LA2200X | Adult Health Nurse Practitioner | RN10028361 | MA | — |
| 363LA2200X | Adult Health Nurse Practitioner | TPAN35453 | FL | — |

## Other

- **Enumeration date:** 07/07/2021
- **Last updated:** 03/18/2026