Individual
KRISTAN LEEANN JOHNSON
Active
Individual
KRISTAN LEEANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5008151
NC
363LF0000X
Family Nurse Practitioner
Primary
5008151
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
276187
RN
NC
01
—
5008151
NURSE PRACTIONER
NC
05
—
7100270770
—
KY
Enumeration date
10/13/2012
Last updated
04/13/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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