Individual
MRS. KRISTIN M JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 US HIGHWAY 66 E, TELL CITY, IN 47586-2757
(812) 979-2136
Mailing address
PO BOX 306417, NASHVILLE, TN 37230-6417
(931) 253-1110
(812) 429-1523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28150798A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100246550A
—
IN
Enumeration date
09/04/2012
Last updated
08/09/2023
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